Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance
Grant T. Fankhauser, Richard J. Fowl, William M. Stone, Samuel R. Money
Implantable venous access ports are essential for patients requiring chronic venous access. Ultrasound guided catheter placement has been recognized as a valuable adjunct for reducing complications during placement of access ports in the radiology and critical care medicine literature. We reviewed the medical records of patients undergoing insertion of implantable venous access ports from June 2006 through June 2009. All procedures were performed using ultrasound guidance with the internal jugular vein as the access site. There were 500 implantable venous access ports placed and included for review. There were no post-procedure pneumothoraces or hemothoraces. Carotid puncture was documented in 4 (0.8%)cases. Routine use of ultrasound guidance during placement of implantable venous access ports has eliminated the complications of pneumothorax and hemothorax during placement of internal jugular venous access ports on our vascular surgery service. Elimination of these complications and decreased use of chest x-rays should also provide increased cost savings for this procedure.
hemothorax
ultrasound-guidance
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Hemothorax Medicine & Life Sciences 100%
Pneumothorax Medicine & Life Sciences 80%
Cost Savings Medicine & Life Sciences 28%
Jugular Veins Medicine & Life Sciences 27%
Radiology Medicine & Life Sciences 24%
Critical Care Medicine & Life Sciences 21%
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Fankhauser, G. T., Fowl, R. J., Stone, W. M., & Money, S. R. (2013). Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance. Vascular, 21(6), 345-348. https://doi.org/10.1177/1708538112472279
Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance. / Fankhauser, Grant T.; Fowl, Richard J.; Stone, William M. et al.
In: Vascular, Vol. 21, No. 6, 12.2013, p. 345-348.
Fankhauser, GT, Fowl, RJ, Stone, WM & Money, SR 2013, 'Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance', Vascular, vol. 21, no. 6, pp. 345-348. https://doi.org/10.1177/1708538112472279
Fankhauser GT, Fowl RJ, Stone WM, Money SR. Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance. Vascular. 2013 Dec;21(6):345-348. doi: 10.1177/1708538112472279
Fankhauser, Grant T. ; Fowl, Richard J. ; Stone, William M. et al. / Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance. In: Vascular. 2013 ; Vol. 21, No. 6. pp. 345-348.
@article{aa6c6c65650b42fd82b07e5a0d7c56dc,
title = "Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance",
abstract = "Implantable venous access ports are essential for patients requiring chronic venous access. Ultrasound guided catheter placement has been recognized as a valuable adjunct for reducing complications during placement of access ports in the radiology and critical care medicine literature. We reviewed the medical records of patients undergoing insertion of implantable venous access ports from June 2006 through June 2009. All procedures were performed using ultrasound guidance with the internal jugular vein as the access site. There were 500 implantable venous access ports placed and included for review. There were no post-procedure pneumothoraces or hemothoraces. Carotid puncture was documented in 4 (0.8%)cases. Routine use of ultrasound guidance during placement of implantable venous access ports has eliminated the complications of pneumothorax and hemothorax during placement of internal jugular venous access ports on our vascular surgery service. Elimination of these complications and decreased use of chest x-rays should also provide increased cost savings for this procedure.",
keywords = "hemothorax, pneumothorax, port, ultrasound-guidance, venous access",
author = "Fankhauser, {Grant T.} and Fowl, {Richard J.} and Stone, {William M.} and Money, {Samuel R.}",
journal = "Cardiovascular Surgery",
T1 - Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance
AU - Fankhauser, Grant T.
AU - Fowl, Richard J.
AU - Stone, William M.
AU - Money, Samuel R.
N2 - Implantable venous access ports are essential for patients requiring chronic venous access. Ultrasound guided catheter placement has been recognized as a valuable adjunct for reducing complications during placement of access ports in the radiology and critical care medicine literature. We reviewed the medical records of patients undergoing insertion of implantable venous access ports from June 2006 through June 2009. All procedures were performed using ultrasound guidance with the internal jugular vein as the access site. There were 500 implantable venous access ports placed and included for review. There were no post-procedure pneumothoraces or hemothoraces. Carotid puncture was documented in 4 (0.8%)cases. Routine use of ultrasound guidance during placement of implantable venous access ports has eliminated the complications of pneumothorax and hemothorax during placement of internal jugular venous access ports on our vascular surgery service. Elimination of these complications and decreased use of chest x-rays should also provide increased cost savings for this procedure.
AB - Implantable venous access ports are essential for patients requiring chronic venous access. Ultrasound guided catheter placement has been recognized as a valuable adjunct for reducing complications during placement of access ports in the radiology and critical care medicine literature. We reviewed the medical records of patients undergoing insertion of implantable venous access ports from June 2006 through June 2009. All procedures were performed using ultrasound guidance with the internal jugular vein as the access site. There were 500 implantable venous access ports placed and included for review. There were no post-procedure pneumothoraces or hemothoraces. Carotid puncture was documented in 4 (0.8%)cases. Routine use of ultrasound guidance during placement of implantable venous access ports has eliminated the complications of pneumothorax and hemothorax during placement of internal jugular venous access ports on our vascular surgery service. Elimination of these complications and decreased use of chest x-rays should also provide increased cost savings for this procedure.
KW - hemothorax
KW - pneumothorax
KW - port
KW - ultrasound-guidance
KW - venous access
JO - Cardiovascular Surgery
JF - Cardiovascular Surgery