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  • Title: [Totally implantable venous access ports by cephalic vein cut-down for patients receiving chemotherapy].
    Author: Ayadi S, Ksantini R, Maghrebi H, Daghfous A, Ayadi M, Fteriche F, Bedioui H, Chebbi F, Amous A, Jouini M, Kacem M, Mezlini A, Ben Safta Z.
    Journal: Tunis Med; 2011; 89(8-9):699-702. PubMed ID: 21948685.
    Abstract:
    BACKGROUND: The use of an implantable room has become indispensable in the clinical practice for the cancer patients. The increasing use of these devices was associated with a greater incidence of complications. AIM: To verify the feasibility of the cephalic vein cut-down technique for placement of venous access devices. METHODS: A prospective study of 58 port placements was performed at our department of general surgery. The surveillance of devices was collectively insured by the operator and by the oncologists. RESULTS: The indication for implantation was the infusion of intravenous chemotherapy in patients with colorectal cancer in 55.1% cases and breast cancer in 27.5%. The specific complication rate was 7%. The cephalic vein cut-down approach was used successful in 45 (77.5%) patients. When the cephalic vein could not be used, a percutaneous technique was employed using the subclavian vein in 22.4% of the patients. CONCLUSION: Cephalic vein cut-down technique should be considered a safe and feasible approach for placement of venous access devices.
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