[Insertion des chambres a catheter implantables sous guidage echographique et scopique. Etude prospective portant sur 120 cas]

ABSTRACT

We compare our results of a prospective study, on 120 totally implantable venous access ports [TIVAP] inserted at angiographic unit, under ultrasound and fluoroscopic guidance, with those of the literature. The 120 AP data, placed under ultrasound and fluoroscopic control for chemotherapy treatment, were prospectively analyzed. The detailed technique of insertion is noted. Data related to the technical success rate and to complications were classified into major, minor, early or late, according to the recommendations of the interventional radiology society. The technical success rate is 100% with no major complication noted. Eight [6.6%] TIVAP were withdrawn because of infection in 4 cases [3.3%], and end of treatment in the other four. The withdrawals took place in chemotherapy clinics. Three [2.5%] are classified as early infections, within two months of the procedure, two of which were associated to wound non-healing. Four patients [3.3%] presented early minor complications [hematoma surrounding TIVAP insertion site]. Our results correspond to previously published data. The insertion of AP at the angiographic unit under ultrasound and fluoroscopic control has lower risk of complications and a success rate higher than that being inserted following anatomical location. Collaboration with a specialized care nurses team is of paramount importance