Anahtar KelimelerSantral Venöz Girişim, İmplante Edilebilir Port, Eksternal Juguler Ven, Subklavyen Ven. AbstractAim: Today, implantable central venous ports (ICVP) are increasingly used in oncology patients and provide easy vascular access for delivery of chemotherapy, other intravenous treatments, as fluids, blood products and parenteral nutrition solutions. In this study, we present our experience and comparison of efficacy and incidence of complications between subclavian versus jugular access in oncology patients and provide easy vascular access for delivery of chemotherapy. Material and Method: Three hundred ten implantable central venous ports (ICVP) were implanted via the subclavian vein (SV) in 145 patients (66 men, 79 women) with average age of 56.55 (18-86) and were implanted via the external jugular vein (EJV) in 165 patients (75 men, 90 women) with average age of 56

Chilothorax, a rare clinical condition characterized by high triglyceride white fluid in the thoracic cavity; when the literature is examined, it is seen because of trauma, malignancy, complication of surgery, and rarely central catheter-related thromboplasty. In the treatment, diet change, nutrition, drainage with tube thoracostomy, conservative method, surgical procedure with thoracotomy are applied.In our case there was no response to nutritional changes, drainage, thoracotomy and somatostatin treatments. Cisterna chyli ligation was performed with laparotomy. We present a case of spontaneous bilateral chylothorax associated with superior and inferior vena cava thrombosis (without central catheter relationship).

Pneumomediastinum is a disease characterized by the presence of air in the mediastinum. The disease is examined in two categories as spontaneous and secondary and frequently seen as a result of traumatic causes. In our study, we present a case of diffuse mediastinal and subcutaneous emphysema after strangulation, unrelated to penetrating injury. After detailed anamnesis, it was understood that it was not a simple penetrating injury but a complicated trauma. Anamnesis, clinical findings, and radiology should be compatible with each other. When necessary, detailed anamnesis should be insisted and the etiology of blunt trauma should be investigated, especially if mediastinal emphysema is detected. Complications such as tension pneumomediastinum, pneumopericardium, and mediastinitis can be seen which complicates the disease and can result in death.