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J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system

  • Vascular–Interventional
  • Published:
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Abstract

The aim of this study was to verify the feasibility of using a J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system (RPCS). Twenty-five patients with various hepatic malignancies underwent percutaneous implantation of an RPCS through the left subclavian artery for regional chemotherapy. To successfully puncture the left subclavian artery, a J-tipped guidewire was used as a target with fluoroscopic guidance. Technical success and complication rates, and numbers of puncture failures, were retrospectively analyzed. Implantation of the RPCS was successful in all patients. Eight (32%) patients had minor complications and no patient had major complications. The number of puncture failures per patient was 0 to 1 (mean=0.32). The J-tipped guidewire is a safe and appropriate target for puncture of the subclavian artery in the placement of an RPCS.

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Authors and Affiliations

  1. Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, 359-0042, Saitama, Japan

    Yukihiro Hama & Shoichi Kusano

  2. Department of Radiology, Social Insurance Chuo General Hospital, Tokyo, Japan

    Kohzoh Makita

Authors
  1. Yukihiro Hama
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  2. Kohzoh Makita
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  3. Shoichi Kusano
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Correspondence to Yukihiro Hama.

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Hama, Y., Makita, K. & Kusano, S. J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system. Eur Radiol 14, 817–821 (2004). https://doi.org/10.1007/s00330-003-2131-1

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  • DOI: https://doi.org/10.1007/s00330-003-2131-1

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