Literature review of radiology implanted forearm ports

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Insertion of totally implanted venous access devices; that is, port systems, in the forearm is an option for long-term venous access” Burbridge et al (2017).

Abstract:

Background: Insertion of totally implanted venous access devices; that is, port systems, in the forearm is an option for long-term venous access. To better understand the radiology literature reported for this anatomic location, we performed a search for, and an analysis of, previous publications related to forearm implantation of these devices by interventional radiology department personnel.

Materials and Methods: A review of the literature was performed for articles describing radiology implantation of forearm ports. Articles published between 1990 and 2015 were reviewed.

Results: Eleven articles were found that met the review criteria. None were randomized studies and only 1 was a prospective study. All of the other studies were retrospective reviews of a variety of different port devices. An analysis of these articles was performed.

Conclusions: Forearm port implantation had high technical success rates (range, 98%-100%; mean, 99.7%). A wide variety of complications were encountered, none of which exceeded the Society of Interventional Radiology threshold levels for complications associated with port insertion. A subset of the studies were upper arm venipunctures with the port catheter and housing subsequently implanted in the forearm distal to the antecubital fossa.

Reference:

Burbridge, B., Chan, I.Y.M., Bryce, R., Lee, C-H. and Lim, H.J. (2017) Radiology Implanted Forearm Ports: A Review of the Literature. The Journal of the Association for Vascular Access. 22(1), p.22-30.

DOI: http://dx.doi.org/10.1016/j.java.2016.08.005

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