{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:11:11Z","timestamp":1740157871990,"version":"3.37.3"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Jpn J Radiol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>This study retrospectively evaluated the feasibility and safety of implanting a newly developed central venous access port (CV-port) that allows catheter insertion into a vein without the use of a peel-away sheath, with a focus on its potential to minimize risks associated with conventional implantation methods.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>All procedures were performed using a new device (P-U CelSite Port\u2122 MS; Toray Medical, Tokyo, Japan) under ultrasound guidance. The primary endpoint was the implantation success rate. The secondary endpoints were the safety and risk factors for infection in the early postprocedural period (&lt;\u200930\u00a0days).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>We assessed 523 CV-port implantations performed in a cumulative total of 523 patients (240 men and 283 women; mean age, 61.6\u2009\u00b1\u200913.1\u00a0years; range, 18\u201385\u00a0years). All implantations were successfully performed using an inner guide tube and over-the-wire technique through 522 internal jugular veins and one subclavian vein. The mean procedural time was 33.2\u2009\u00b1\u200910.9\u00a0min (range 15\u2013112\u00a0min). Air embolism, rupture\/perforation of the superior vena cava, or hemothorax did not occur during catheter insertion. Eleven (2.1%) intraprocedural complications occurred, including Grade I arrhythmia (n\u2009=\u20098) and subcutaneous bleeding (n\u2009=\u20091), Grade II arrhythmia (n\u2009=\u20091), and Grade IIIa pneumothorax (n\u2009=\u20091). Furthermore, 496 patients were followed up for\u2009\u2265\u200930\u00a0days. Six early postprocedural complications were encountered (1.1%), including Grade IIIa infection (n\u2009=\u20094), catheter occlusion (n\u2009=\u20091), and skin necrosis due to subcutaneous leakage of trabectedin (n\u2009=\u20091). These six CV-ports were withdrawn, and no significant risk factors for infection in the early postprocedural period were identified.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The implantation of this CV-port device demonstrated comparable success and complication rates to conventional devices, with the added potential benefit of eliminating complications associated with the use of a peel-away sheath.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11604-024-01658-5","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T12:41:07Z","timestamp":1726663267000},"page":"282-289","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of a novel central venous access port for direct catheter insertion without a peel-away sheath"],"prefix":"10.1007","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9467-0280","authenticated-orcid":false,"given":"Toshihiro","family":"Iguchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Kawabata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Matsui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Tomita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayu","family":"Uka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriyuki","family":"Umakoshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichiro","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuaki","family":"Munetomo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takao","family":"Hiraki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,17]]},"reference":[{"key":"1658_CR1","volume":"14","author":"V Kartsouni","year":"2022","unstructured":"Kartsouni V, Moschouris H, Bersimis F, Gkeneralis G, Gkeli M, Dodoura S, et al. Complications of totally implantable central venous catheters (ports) inserted via the internal jugular vein under ultrasound and fluoroscopy guidance in adult oncology patients: a single-center experience. Cureus. 2022;14: e27485.","journal-title":"Cureus."},{"key":"1658_CR2","first-page":"105","volume":"8","author":"S Sugawara","year":"2022","unstructured":"Sugawara S, Sone M, Sakamoto N, Sofue K, Hashimoto K, Arai Y, et al. Guidelines for central venous port placement and management (abridged translation of the Japanese version). Interv Radiol (Higashimatsuyama). 2022;8:105\u201317.","journal-title":"Interv Radiol (Higashimatsuyama)."},{"key":"1658_CR3","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1007\/s00270-011-0271-2","volume":"35","author":"EM Walser","year":"2012","unstructured":"Walser EM. Venous access ports: indications, implantation technique, follow-up, and complications. Cardiovasc Intervent Radiol. 2012;35:751\u201364.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"1658_CR4","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1016\/S1051-0443(07)61554-1","volume":"12","author":"TM Vesely","year":"2001","unstructured":"Vesely TM. Air embolism during insertion of central venous catheters. J Vasc Interv Radiol. 2001;12:1291\u20135.","journal-title":"J Vasc Interv Radiol"},{"key":"1658_CR5","doi-asserted-by":"publisher","first-page":"2359","DOI":"10.1093\/ndt\/gfm260","volume":"22","author":"V Polakovic","year":"2007","unstructured":"Polakovic V, Sv\u00e1ra F, Dvor\u00e1kov\u00e1 M. Dialysis catheter insertion with and without peel-away sheaths. Nephrol Dial Transpl. 2007;22:2359.","journal-title":"Nephrol Dial Transpl"},{"key":"1658_CR6","doi-asserted-by":"crossref","unstructured":"Dariushnia SR, Wallace MJ, Siddiqi NH, Towbin RB, Wojak JC, Kundu S, et al; Society of interventional radiology standards of practice committee. Quality improvement guidelines for central venous access. J Vasc Interv Radiol. 2010;21:976\u201381.","DOI":"10.1016\/j.jvir.2010.03.006"},{"key":"1658_CR7","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205\u201313.","journal-title":"Ann Surg"},{"key":"1658_CR8","unstructured":"Toray Medical Co., Ltd. P-U CelSite PortTM MS. Toray Medical Co., Ltd., n.d. Available via https:\/\/www.toray-medical.com\/medical\/ivr\/pdf\/ivr_0010_02.pdf. Accessed 3 Sept 2024."},{"key":"1658_CR9","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1016\/j.ejrad.2008.09.015","volume":"72","author":"HS Park","year":"2009","unstructured":"Park HS, Kim YI, Lee SH, Kim JI, Seo H, Lee SM, et al. Central venous infusion port inserted via high versus low jugular venous approaches: retrospective comparison of outcome and complications. Eur J Radiol. 2009;72:494\u20138.","journal-title":"Eur J Radiol"},{"key":"1658_CR10","doi-asserted-by":"publisher","first-page":"314","DOI":"10.3348\/kjr.2012.13.3.314","volume":"13","author":"SJ Ahn","year":"2012","unstructured":"Ahn SJ, Kim HC, Chung JW, An SB, Yin YH, Jae HJ, et al. Ultrasound and fluoroscopy-guided placement of central venous ports via internal jugular vein: retrospective analysis of 1254 port implantations at a single center. Korean J Radiol. 2012;13:314\u201323.","journal-title":"Korean J Radiol"},{"key":"1658_CR11","doi-asserted-by":"publisher","first-page":"1224","DOI":"10.1007\/s00330-010-2045-7","volume":"21","author":"UK Teichgr\u00e4ber","year":"2011","unstructured":"Teichgr\u00e4ber UK, Kausche S, Nagel SN, Gebauer B. Outcome analysis in 3,160 implantations of radiologically guided placements of totally implantable central venous port systems. Eur Radiol. 2011;21:1224\u201332.","journal-title":"Eur Radiol"},{"key":"1658_CR12","doi-asserted-by":"publisher","first-page":"1340","DOI":"10.1016\/j.ejso.2007.12.001","volume":"34","author":"D Dede","year":"2008","unstructured":"Dede D, Akmangit I, Yildirim ZN, Sanverdi E, Sayin B. Ultrasonography and fluoroscopy-guided insertion of chest ports. Eur J Surg Oncol. 2008;34:1340\u20133.","journal-title":"Eur J Surg Oncol"},{"key":"1658_CR13","first-page":"2013","volume":"17","author":"DH Kim","year":"2019","unstructured":"Kim DH, Ryu DY, Jung HJ, Lee SS. Evaluation of complications of totally implantable central venous port system insertion. Exp Ther Med. 2019;17:2013\u20138.","journal-title":"Exp Ther Med"},{"key":"1658_CR14","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1001\/jamainternmed.2023.8232","volume":"184","author":"B Teja","year":"2024","unstructured":"Teja B, Bosch NA, Diep C, Pereira TV, Mauricio P, Sklar MC, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184:474\u201382.","journal-title":"JAMA Intern Med"},{"key":"1658_CR15","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1007\/s00134-012-2597-x","volume":"38","author":"M Lamperti","year":"2012","unstructured":"Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M, et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med. 2012;38:1105\u201317.","journal-title":"Intensive Care Med"},{"key":"1658_CR16","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241227248","author":"N Mumoli","year":"2024","unstructured":"Mumoli N, Mereghetti M, Capra R, Pistoia M, Torre LD, Dentali F, et al. No contraindication to internal jugular central venous catheter insertion in patients at increased risk of bleeding: results from a prospective observational study in an internal medicine department. J Vasc Access. 2024.\u00a0https:\/\/doi.org\/10.1177\/11297298241227248.","journal-title":"J Vasc Access"},{"key":"1658_CR17","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1097\/COC.0000000000000361","volume":"40","author":"O Tabatabaie","year":"2017","unstructured":"Tabatabaie O, Kasumova GG, Eskander MF, Critchlow JF, Tawa NE, Tseng JF. Totally implantable venous access devices: a review of complications and management strategies. Am J Clin Oncol. 2017;40:94\u2013105.","journal-title":"Am J Clin Oncol"},{"key":"1658_CR18","doi-asserted-by":"publisher","first-page":"2053","DOI":"10.1097\/00003246-199612000-00020","volume":"24","author":"AG Randolph","year":"1996","unstructured":"Randolph AG, Cook DJ, Gonzales CA, Pribble CG. Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature. Crit Care Med. 1996;24:2053\u20138.","journal-title":"Crit Care Med"},{"key":"1658_CR19","doi-asserted-by":"publisher","first-page":"1168","DOI":"10.1016\/j.jvir.2019.04.017","volume":"30","author":"IJ Patel","year":"2019","unstructured":"Patel IJ, Rahim S, Davidson JC, Hanks SE, Tam AL, Walker TG, et al. Society of Interventional Radiology consensus guidelines for the periprocedural management of thrombotic and bleeding risk in patients undergoing percutaneous image-guided interventions-part II: recommendations: endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 2019;30:1168\u201384.","journal-title":"J Vasc Interv Radiol"},{"key":"1658_CR20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261636","volume":"17","author":"Y Otaki","year":"2022","unstructured":"Otaki Y, Fujishiro N, Oyama Y, Hata N, Kato D, Kawachi S. The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: a retrospective analysis of death cases in closed claims and the medical accident investigating system in Japan. PLoS ONE. 2022;17: e0261636.","journal-title":"PLoS ONE"},{"key":"1658_CR21","first-page":"558","volume":"182","author":"JC Reese","year":"1996","unstructured":"Reese JC. Cardiac tamponade caused by central venous catheter perforation of the heart: a preventable complication. J Am Coll Surg. 1996;182:558.","journal-title":"J Am Coll Surg"},{"key":"1658_CR22","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.1097\/00003246-200005000-00061","volume":"28","author":"JG Heckmann","year":"2000","unstructured":"Heckmann JG, Lang CJ, Kindler K, Huk W, Erbguth FJ, Neund\u00f6rfer B. Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization. Crit Care Med. 2000;28:1621\u20135.","journal-title":"Crit Care Med"},{"key":"1658_CR23","doi-asserted-by":"publisher","first-page":"1536","DOI":"10.3346\/jkms.2010.25.10.1536","volume":"25","author":"SS Han","year":"2010","unstructured":"Han SS, Kim SS, Hong HP, Lee SY, Lee SJ, Lee BK. Massive paradoxical air embolism in brain occurring after central venous catheterization: a case report. J Korean Med Sci. 2010;25:1536\u20138.","journal-title":"J Korean Med Sci"},{"key":"1658_CR24","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s00270-003-0102-1","volume":"26","author":"UK Teichgr\u00e4ber","year":"2003","unstructured":"Teichgr\u00e4ber UK, Gebauer B, Benter T, Wagner HJ. Central venous access catheters: radiological management of complications. Cardiovasc Intervent Radiol. 2003;26:321\u201333.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"1658_CR25","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.1097\/01.RVI.0000228465.81471.A1","volume":"17","author":"KJ Kolbeck","year":"2006","unstructured":"Kolbeck KJ, Stavropoulos SW, Trerotola SO. Aerostasis during central venous access: updates in protective sheaths. J Vasc Interv Radiol. 2006;17:1155\u201363.","journal-title":"J Vasc Interv Radiol"}],"container-title":["Japanese Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11604-024-01658-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11604-024-01658-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11604-024-01658-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T06:09:14Z","timestamp":1738562954000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11604-024-01658-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,17]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["1658"],"URL":"https:\/\/doi.org\/10.1007\/s11604-024-01658-5","relation":{},"ISSN":["1867-1071","1867-108X"],"issn-type":[{"type":"print","value":"1867-1071"},{"type":"electronic","value":"1867-108X"}],"subject":[],"published":{"date-parts":[[2024,9,17]]},"assertion":[{"value":"14 July 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study design was approved by the appropriate ethics review board (approval number, KEN2405-007).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The need to obtain informed consent was waived based on the retrospective design.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}