{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:13:41Z","timestamp":1791274421997,"version":"4.1.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"1019","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the technical success, clinical outcome and safety of percutaneously placed totally implantable venous power ports (TIVPPs) approved for high-pressure injections, and to analyse their value for arterial phase CT scans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospectively, we identified 204 patients who underwent TIVPP implantation in the forearm (n=152) or chest (n=52) between November 2009 and May 2011. Implantation via an upper arm (forearm port, FP) or subclavian vein (chest port, CP) was performed under sonographic and fluoroscopic guidance. Complications were evaluated following the standards of the Society of Interventional Radiology. Power injections via TIVPPs were analysed, focusing on adequate functioning and catheter's tip location after injection. Feasibility of automatic bolus triggering, peak injection pressure and arterial phase aortic enhancement were evaluated and compared with 50 patients who had had power injections via classic peripheral cannulas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Technical success was 100%. Procedure-related complications were not observed. Catheter-related thrombosis was diagnosed in 15 of 152 FPs (9.9%, 0.02\/100 catheter days) and in 1 of 52 CPs (1.9%, 0.002\/100 catheter days) (p&amp;lt;0.05). Infectious complications were diagnosed in 9 of 152 FPs (5.9%, 0.014\/100 catheter days) and in 2 of 52 CPs (3.8%, 0.003\/100 catheter days) (p&amp;gt;0.05). Arterial bolus triggering succeeded in all attempts; the mean injection pressure was 213.8 psi. Aortic enhancement did not significantly differ between injections via cannulas and TIVPPs (p&amp;gt;0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TIVPPs can be implanted with high technical success rates, and are associated with low rates of complications if implanted with sonographic and fluoroscopic guidance. Power injections via TIVPPs are safe and result in satisfying arterial contrast. Conventional ports should be replaced by TIVPPs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1259\/bjr\/33224341","type":"journal-article","created":{"date-parts":[[2012,6,6]],"date-time":"2012-06-06T22:48:16Z","timestamp":1339022896000},"page":"e966-e972","source":"Crossref","is-referenced-by-count":37,"title":["Totally implantable venous power ports of the forearm and the chest: initial clinical experience with port devices approved for high-pressure injections"],"prefix":"10.1093","volume":"85","author":[{"given":"J P","family":"Goltz","sequence":"first","affiliation":[{"name":"Julius Maximilian University of W\u00fcrzburg, Institute of Radiology, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Noack","sequence":"additional","affiliation":[{"name":"Julius Maximilian University of W\u00fcrzburg, Institute of Radiology, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Petritsch","sequence":"additional","affiliation":[{"name":"Julius Maximilian University of W\u00fcrzburg, Institute of Radiology, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Kirchner","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Allgemeines Krankenhaus Hagen, Hagen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Hahn","sequence":"additional","affiliation":[{"name":"Julius Maximilian University of W\u00fcrzburg, Institute of Radiology, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Kickuth","sequence":"additional","affiliation":[{"name":"Julius Maximilian University of W\u00fcrzburg, Institute of Radiology, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2014,1,28]]},"reference":[{"key":"2024050213270246400_b1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s002689900342","article-title":"Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems.","volume":"22","author":"Kock","year":"1998","journal-title":"World J Surg"},{"key":"2024050213270246400_b2","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s10147-008-0766-2","article-title":"Long-term outcomes of peripheral arm ports implanted in patients with colorectal cancer.","volume":"13","author":"Kawamura","year":"2008","journal-title":"Int J Clin Oncol"},{"key":"2024050213270246400_b3","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1007\/s00270-010-9854-6","article-title":"Peripherally placed totally implantable venous-access port systems of the forearm: clinical experience in 763 consecutive patients.","volume":"33","author":"Goltz","year":"2010","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2024050213270246400_b4","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s10549-005-1711-y","article-title":"Radiological and surgical placement of port devices: a 4-year institutional analysis of procedure performance, quality of life and cost in breast cancer patients.","volume":"92","author":"Marcy","year":"2005","journal-title":"Breast Cancer Res Treat"},{"key":"2024050213270246400_b5","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S1051-0443(07)61936-8","article-title":"Risk of deep venous thrombosis associated with chest versus arm central venous subcutaneous port catheters: a 5-year single-institution retrospective study.","volume":"13","author":"Kuriakose","year":"2002","journal-title":"J Vasc Interv 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Radiol"},{"key":"2024050213270246400_b9","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1055\/s-0028-1109345","article-title":"First experiences with intravenous port systems authorized for high pressure injection of contrast agent in multiphasic computed tomography.","volume":"181","author":"Wieners","year":"2009","journal-title":"Rofo"},{"key":"2024050213270246400_b10","doi-asserted-by":"crossref","first-page":"S199","DOI":"10.1097\/01.RVI.0000094584.83406.3e","article-title":"Society of Interventional Radiology clinical practice guidelines.","volume":"14","author":"Sacks","year":"2003","journal-title":"J Vasc Interv Radiol"},{"key":"2024050213270246400_b11","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1038\/sj.bjc.6602082","article-title":"Long-term outcome of radiological-guided insertion of implanted central venous access port devices (CVAPD) for the delivery of chemotherapy in cancer patients: institutional experience and review of the literature.","volume":"91","author":"Vardy","year":"2004","journal-title":"Br J Cancer"},{"key":"2024050213270246400_b12","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1055\/s-0028-1109453","article-title":"Radiological placement of peripheral central venous access ports at the forearm. Technical results and long term outcome in 391 patients.","volume":"182","author":"Lenhart","year":"2010","journal-title":"Rofo"},{"key":"2024050213270246400_b13","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1002\/bjs.6730","article-title":"Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports.","volume":"96","author":"Nocito","year":"2009","journal-title":"Br J Surg"},{"key":"2024050213270246400_b14","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1007\/s00270-008-9477-3","article-title":"A comparison of clinical outcomes with regular- and low-profile totally implanted central venous port systems.","volume":"32","author":"Teichgraber","year":"2009","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2024050213270246400_b15","article-title":"Ultrasound-guided radiological placement of central venous port via the subclavian vein: a retrospective analysis of 500 cases at a single institute.","author":"Sakamoto","year":"2012","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2024050213270246400_b16","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/j.ejrad.2009.12.010","article-title":"Jugular versus subclavian totally implantable access ports: catheter position, complications and intrainterventional pain perception.","volume":"79","author":"Plumhans","year":"2011","journal-title":"Eur J Radiol"},{"key":"2024050213270246400_b17","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.ejrad.2007.10.018","article-title":"Combined ultrasound and fluoroscopy guided port catheter implantation\u2014high success and low complication rate.","volume":"69","author":"Gebauer","year":"2009","journal-title":"Eur J Radiol"},{"key":"2024050213270246400_b18","first-page":"93","article-title":"Subcutaneous venous port implantation in adult patients: a single center experience.","volume":"12","author":"Cil","year":"2006","journal-title":"Diagn Interv Radiol"},{"key":"2024050213270246400_b19","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s00270-010-9972-1","article-title":"Reply to letter: further data about upper extremity ports.","volume":"34","author":"Goltz","year":"2011","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2024050213270246400_b20","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1177\/112972981001100221","article-title":"Central and peripheral venous port catheters: evaluation of patients' satisfaction under local anesthesia.","volume":"11","author":"Marcy","year":"2010","journal-title":"J Vasc Access"},{"key":"2024050213270246400_b21","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1016\/j.ejso.2007.09.011","article-title":"A comparison between distal and proximal port device insertion in head and neck cancer.","volume":"34","author":"Marcy","year":"2008","journal-title":"Eur J Surg Oncol"},{"key":"2024050213270246400_b22","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/s11604-007-0138-2","article-title":"Optimal dose and injection duration (injection rate) of contrast material for depiction of hypervascular hepatocellular carcinomas by multidetector CT.","volume":"25","author":"Yanaga","year":"2007","journal-title":"Radiat Med"},{"key":"2024050213270246400_b23","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00270-009-9758-5","article-title":"Implantable subcutaneous venous access devices: is port fixation necessary? 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