Purpose
To describe MSIT,
our experience and results with the first100 cases during the first year using this technique.
Methods and Materials
From april 2010 until may 2011,
100 unselected chest ports were placed using MSIT. Forty two men and fifty eight women with ages between 9 months and 82 years old,
mean 56,97 years. All ports were implanted in an angiography suite in an sterile fashion under local anesthesia in adultsand with general anesthesia in pediatric patients.
Previous informed consent is obtained. Internal jugular vein puncture is performed coming from the infraclavicular fossa in caudo-craneal direction always using ultrasound guidance with a micropuncture set needle,
previously...
Results
Technical success was 100% (success understood as the capability of performing the procedure completely). Primary permability of the devices was 100% at submission.
Two minor complications (pocket haematoma) were observed without secuelae in haemathologic patients that had required previous coagulation correcting transfusions. Patient's satisfaction score about the procedure was 9/10. Cosmetic results were very good. Up to date follow up (january 2012),
evidence 30 deaths with permeable port,
and 4 catheter dysfunction that have been solved with urokinase perfusion.
Conclusion
Modified Single Incision Technique is feasible,
safe,
has high success rate,
very low complication and/or malfunction rates both comparable with classical technique. It’s specially useful and could be mandatory in patients with tracheostomy,
low neck skin infection,
mass,
adenopathies,
or any condition that impedes supracalavicular access. Eliminates risk of pneumothorax. Eliminates risk of infection of neck incision. Catheter’s curve is more ergonomic than with conventional technique (can help diminish malfunction); MSIT is less traumatic as it suppresses neck incision and use of tunneling device; MSIT...
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