Document 1249
 DOCN  M9591249
 TI    Radiologic placement of long-term central venous peripheral access
       system ports (PAS Port): results in 150 patients.
 DT    9509
 AU    Foley MJ; Sheer Ahearn and Associates, Tampa, FL 33637, USA.
 SO    J Vasc Interv Radiol. 1995 Mar-Apr;6(2):255-62. Unique Identifier :
       AIDSLINE MED/95306991
 AB    PURPOSE: The author reports experience with 150 peripheral access system
       ports (PAS Ports) placed in an interventional radiology suite.
       Complication rates from this series are compared with those of
       surgically placed tunneled catheters. The average cost of placement is
       compared with that of a surgically placed chest port. PATIENTS AND
       METHODS: Findings were retrospectively reviewed in 150 patients in whom
       the PAS Port catheter was implanted. The age range was 26-84 years
       (mean, 46 years). The diagnoses in these patients included cancer (n =
       68), acquired immunodeficiency syndrome (n = 52), osteomyelitis (n =
       21), and abscess (n = 9). Implantation with use of fluoroscopic guidance
       and Cath-finder technology is described. RESULTS: One hundred fifty
       ports have been indwelling for a total of 24,151 patient days (range,
       40-220 days; mean duration, 161 days). Sepsis occurred in 3.3%, local
       infection in 5% (early infection 1%, late infection 4%), temporary
       catheter occlusion in 3.3%, postinsertion phlebitis in 7.3%, and venous
       thrombosis in 2%. The cost of radiologic PAS Port insertion averaged
       $1,488 versus $3,720 for surgical chest port insertion. CONCLUSION: PAS
       Port central venous catheter placement by an interventional radiologist
       in this series is safe and cost effective and compares very favorably
       with surgery. Radiologists will likely see increasing requests by
       referring physicians for radiologically placed catheters and ports in
       this era of cost containment.
 DE    Abscess/THERAPY  Acquired Immunodeficiency Syndrome/THERAPY  Adult  Aged
       Aged, 80 and over  Bacterial Infections/ETIOLOGY  Catheterization,
       Central Venous/ADVERSE EFFECTS/ECONOMICS/  *INSTRUMENTATION  *Catheters,
       Indwelling/ADVERSE EFFECTS/ECONOMICS  Comparative Study  Cost-Benefit
       Analysis  Costs and Cost Analysis  Equipment Failure  Fluoroscopy  Human
       Middle Age  Neoplasms/THERAPY  Osteomyelitis/THERAPY  Phlebitis/ETIOLOGY
       Radiography, Interventional  Retrospective Studies  Thoracic
       Surgery/ECONOMICS  Thrombophlebitis/ETIOLOGY  Time Factors  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).