中国中西医结合影像学杂志2025，Vol.23Issue(5)：661-665,5.DOI:10.3969/j.issn.1672-0512.2025.05.025
DSA引导下经颈内或锁骨下静脉穿刺植入静脉输液港的对比分析
Comparative analysis of totally implantable access port through internal jugular vein or subclavian vein under DSA guidance
摘要
Abstract
Objective:To explore the efficacy and safety of different puncture approaches under DSA guidance for totally implantable access port(TIAP),and to provide a reference for the selection of clinical TIAP approaches.Methods:A total of 267 patients with DSA-guided TIAP were selected and divided into the internal jugular vein group(116 cases)and the subclavian vein group(151 cases)according to the different puncture approaches.The success rate of one-time tube placement,retention time and complications were compared between the two groups.Results:The success rate of one-time tube placement under DSA guidance was 99.14%(115/116)in the internal jugular vein group and 98.68%(149/151)in the subclavian vein group,with no statistically significant difference(P>0.05).The retention time in the internal jugular vein group was longer than that in the subclavian vein group(P<0.05).Comparison after 6-30 months of follow-up,the incidence rates of pneumothorax,periport haematoma and catheter ectasia in the internal jugular vein group were statistically significant lower than those in the subclavian vein group(all P<0.05).There were no significantthe differences in thrombus,fibrin sheath or port reversal between the two groups(all P>0.05).Conclusions:DSA-guided transjugular vein approach is a safe,minimally invasive and effective way of infusion port implantation with longer catheter retention time and fewer complications,which can be the first choice for clinical application.关键词
颈内静脉/锁骨下静脉/输液港/血管造影术,数字减影Key words
Internal jugular vein/Subclavian vein/Infusion port/Angiography,digital subtraction引用本文复制引用
丁霞,亓敏,张勇创,郭林,徐伟,徐华晓,隋玉栋,李雷..DSA引导下经颈内或锁骨下静脉穿刺植入静脉输液港的对比分析[J].中国中西医结合影像学杂志,2025,23(5):661-665,5.基金项目
青岛市医疗卫生重点学科建设项目(青卫政字[2022]6号) （青卫政字[2022]6号）
青岛市医药卫生科研计划(2023-WJZD219). （2023-WJZD219）
