A simple method to accurately position Port‐A‐Cath without the aid of intraoperative fluoroscopy or other localizing devices

Abstract

The modified method for inserting the PAC offered the following benefits: including avoiding X-ray exposure for both the operator and the patient, defining the appropriate position in the SVC, and less surgical time.

1000 Port‐A‐Cath® Placements by Subclavian Vein Approach: Single Surgeon Experience

“…At present, the radiologically assisted percutaneous approach is preferred to the traditional surgical approach, due to its technical success rate, and safety and reduced morbidity [9, 10]. Some investigators have reported that PAC devices can be placed safely without the aid of catheter‐localizing devices or intraoperative imaging in order to reduce cost and surgical time [11, 12]; however, UK guidelines for the placement of central venous catheters (CVCs) recommend that an ultrasound‐guided technique should be adopted as it is associated with a reduced incidence of complications [13, 14].…”

Intravenous electrocardiography helps inexperienced operators to place totally implantable venous access device more accurately

“…The actual puncture site and the angulation curvature might lead to the difficulty for measurement for inexperienced operators. Triggering arrhythmia has been proposed as alternate way to confirm the tip position 13. Short‐run atrial premature complex or ventricular premature complex is usually tolerable, but for critically ill patients, it is better avoided.…”