• H M Chang, H F Hsieh, S D Hsu, G S Liao, C H Lin, C B Hsieh, and J C Yu.
• Department of Surgery, Division of General Surgery, Tri-Service General Hospital, National Defense Medical Center, Nei Hu, Taipei, Taiwan, ROC.
• J Surg Oncol. 2007 Feb 1; 95 (2): 156-7.

BackgroundTotally implantable access ports (TIAP) placed by the cephalic vein cutdown technique have high failure rates.MethodsWe describe a guidewire assisted technique of the cephalic vein cutdown for TIAP placement that can be easily introduced catheter when difficulties in insertion of the catheter. The key point of the presented technique is the use of J guidewire to go beyond the stenosis and advancement of catheter through the guidewire into the superior vena cava.ResultsWe used this technique for introducing the catheter in six patients without failure or complication.ConclusionThe presented technique is easy and simple. It can be used where there are difficulties in insertion of the catheter by cephalic vein cutdown method.(c) 2007 Wiley-Liss, Inc.

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