Image-Guided Insertion of Portacath Compared to AnatomicalLandmark Blind Technique

ASHRAF M.H. EL-SHERIF, M.D., MANAL I. GOMAA, M.D.;; AMIRA D. DARWISH, M.D., ASHRAF H. IBRAHIM, M.D.;; AHMED ADEL MOHSEN, M.D., REDA H. TABASHY, M.D.;

doi:10.21608/mjcu.2021.153778

Image-Guided Insertion of Portacath Compared to AnatomicalLandmark Blind Technique

Authors

The Department of Diagnostic and Interventional Radiology, National Liver Institute, Menoufiya University1,The Department of Diagnostic Radiology, Faculty of Medicine, Minyia University2, The Departments of Surgical Oncology3,Medical Oncology4 and Diagnostic & Interventional Radiology5, National Cancer Institute, Cairo University andThe Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Aswan University6, Egypt

10.21608/mjcu.2021.153778

Abstract

AbstractBackground: Insersion of subcutaneous poracath is im-portant in some cancer cases for whom chemotherapy isindicated. It is done either through image guided techniquein Intrerventional Departement or through blind technique inthe Surgical Departement.Aim of Study: We aimed in our study to to evaluate thecomplications and advantages of the two methodes used forportacath insertion (image-guided inserion and anatomicallandmark blind technique) and compare both to detect thebetter one should be used for the pateints.Patients and Methods: 110 adult cancer patients referredfrom the Medical Oncology Department outpatient clinics forsubcutaneous port catheter insertion in the period from January2019 to January 2020. 55 pateints underwent image-guidedinserion technique, while the other 55 pateints underwent theanatomical landmark blind technique. Data were collectedand analyzed. We campared the feasibility, advantages andcomplications of each technique.Results: The results showed obvious decreased complica-tions in image guided port catheter insertion compared toanatomical landmark blind technique in adult cancer patientsindicated for chemotherapy.Conclusion: Image guided portacath insertion is moresafe than anatomical landmark blind insertion.

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