caa a22 4500 46576195X CHVBK 20180323111901.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF02987107 doi (NATIONALLICENCE)springer-10.1007/BF02987107 A new injection portal for brachially inserted central venous catheter. A multicenter study [Elektronische Daten] [Hans Starkhammar, Mats Bengtsson, Thomas Gain, William Galen, Leif HÅKansson, John Hirsch, Brian Loggie, Earl Schuman, J. Sterchi] Totally implantable portal systems are widely used for long-term central venous access. A new venous portal system inserted via the brachial veins (P.A.S. Port™ system, Pharmacia Deltec Inc, U.S.A.) was studied in five centres. From January 1988 through May 1989 61 systems were implanted. Fifty-two patients had malignant diseases. Nine cases had non-malignant disorders. The portals were implanted subcutaneously in the fore-arm and catheterization was done percutaneously (46) or by cutdown-technique (15) under local anesthesia. Catheter tip position was controlled by fluoroscopy or x-ray. The basilic vein (49) and the cephalic vein (12) were used. The total follow-up time for all systems was 323 months. Forty-five systems were still in use at the end of the observation period, six were explanted electively at the end of infusion therapy and six systems were still functioning at the time of the patient's death (at a maximum of 14 months after implantation). Temporary arm-phlebitis was noticed on the first postoperative week in five patients. Two P.A.S. Port™ systems were explanted due to infection and one because of skin rupture at the wound. One intact system was removed as it was thought to be leaking because of needle displacement. The P.A.S. Port™ system is easy and safe to implant with a high success rate and a low complication rate. It is well accepted by patients and nurses. The device should be advantageous in patients unsuitable for standard venous portal systems and offers an excellent alternative system for venous access. Humana Press Inc., 1990 Catheterization nationallicence Drug therapy nationallicence Infusion-intravenous nationallicence Neoplasms nationallicence Vena cava-superior nationallicence Starkhammar Hans Departments of Oncology, University Hospital, Linköping, Sweden aut Bengtsson Mats Departments of Anesthesiology, University Hospital, Linköping, Sweden aut Gain Thomas Department of Surgery, Hahnemann Hospital, Philadelphia, PA, USA aut Galen William Departments of Surgery Oncology, Good Samaritan Hospital, Portland, OR, USA aut HÅKansson Leif Departments of Oncology, University Hospital, Linköping, Sweden aut Hirsch John Department of Surgery, The Jewish Hospital at Washington University, St Louis, MO, USA aut Loggie Brian Department of Surgery, Bowman Gray School of Medicine, Winston-Salem, NC, USA aut Schuman Earl Departments of Surgery, Good Samaritan Hospital, Portland, OR, USA aut Sterchi J. Department of Surgery, Bowman Gray School of Medicine, Winston-Salem, NC, USA aut Medical Oncology and Tumor Pharmacotherapy Humana Press 7/4(1990-12-01), 281-285 0736-0118 7:4<281 1990 7 12032 https://doi.org/10.1007/BF02987107 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02987107 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Starkhammar Hans Departments of Oncology, University Hospital, Linköping, Sweden aut NATIONALLICENCE 700 1- Bengtsson Mats Departments of Anesthesiology, University Hospital, Linköping, Sweden aut NATIONALLICENCE 700 1- Gain Thomas Department of Surgery, Hahnemann Hospital, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Galen William Departments of Surgery Oncology, Good Samaritan Hospital, Portland, OR, USA aut NATIONALLICENCE 700 1- HÅKansson Leif Departments of Oncology, University Hospital, Linköping, Sweden aut NATIONALLICENCE 700 1- Hirsch John Department of Surgery, The Jewish Hospital at Washington University, St Louis, MO, USA aut NATIONALLICENCE 700 1- Loggie Brian Department of Surgery, Bowman Gray School of Medicine, Winston-Salem, NC, USA aut NATIONALLICENCE 700 1- Schuman Earl Departments of Surgery, Good Samaritan Hospital, Portland, OR, USA aut NATIONALLICENCE 700 1- Sterchi J. Department of Surgery, Bowman Gray School of Medicine, Winston-Salem, NC, USA aut NATIONALLICENCE 773 0- Medical Oncology and Tumor Pharmacotherapy Humana Press 7/4(1990-12-01), 281-285 0736-0118 7:4<281 1990 7 12032 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer