Abstract:
Totally implantable venous access ports (TIVAPs) have been proven to be safe and effective and are commonly used in cancer patients. Here, we introduce the entire procedure of CT-guided implantation of a TIVAP through the subclavian vein. A total of 283 nasopharyngeal carcinoma patients, including 215 males and 68 females, underwent TIVAP through the right subclavian vein, with an average age of 46.4 years (range 13-74). One patient experienced a failed right subclavian vein puncture but was able to successfully undergo a left subclavian vein puncture guided by ultrasound. The average operation time was 36.2 min (range 20-90 min), and the length of the catheter was 17.1 cm (range 14-21 cm). There were 3 cases of arterial puncture, 1 case of catheter displacement, 2 cases of hemothorax, 2 cases of pneumothorax, 2 cases of thrombosis, and 2 cases of wound infection. The overall complication rate was 5.3% (15/283). The computed tomography (CT)-guided implantation of a totally implantable venous access port (TIVAP) via the subclavian vein can, therefore, be considered a safe and reliable technique.
Reference:Chen Z, Shen L, Cao F, Han X, Zhang T, Tan H, Wen C, Fan W. Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein. J Vis Exp. 2026 Jan 13;(227). doi: 10.3791/65939. PMID: 41628176.