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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

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Published on: January 13, 2026

Single-incision technique for tunneled central venous access.

Sohail G Contractor¹, Tej D Phatak, David Klyde

¹Department of Radiology, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, 150 Bergen Street, Newark, NJ 07103, USA. contrasg@umdnj.edu

Journal of Vascular and Interventional Radiology : JVIR

|August 4, 2009

Summary

This study shows that a single-incision technique for implantable chest ports and dialysis catheters is safe and effective. It offers better cosmetic results than traditional methods without increasing procedure time.

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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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Published on: August 8, 2025

Area of Science:

Vascular Surgery
Interventional Radiology
Medical Device Placement

Background:

Central venous access is crucial for various medical treatments.
Traditional placement techniques for devices like implantable chest ports and tunneled dialysis catheters can involve multiple incisions.
Improving patient outcomes and aesthetics is an ongoing goal in device placement procedures.

Purpose of the Study:

To evaluate the feasibility and safety of a novel single-incision technique for placing implantable chest ports and tunneled dialysis catheters.
To compare procedural outcomes, including time and complications, with conventional methods.
To assess the cosmetic benefits of the single-incision approach.

Main Methods:

A single-incision technique was used to place 130 implantable chest ports and tunneled dialysis catheters in patients aged 18-81.
Internal jugular vein access was achieved using ultrasonographic guidance and a specialized micropuncture needle.
Procedure times, technical success, and adverse events were meticulously documented, with follow-up for outcomes.

Main Results:

A high technical success rate of 130 out of 131 placements was achieved.
No procedure-related complications were reported.
The single-incision technique demonstrated comparable procedure and ultrasound times to conventional methods, with improved cosmetic results due to the absence of a second incision.

Conclusions:

The single-incision technique for tunneled central venous access is a safe and feasible option.
This method achieves procedural efficiency comparable to conventional techniques.
The primary advantage of the single-incision technique lies in its superior cosmetic outcome for patients.