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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
Published on: January 13, 2026
Cutdowns for totally implantable access ports to central veins
Mahmoud Kulaylat1, Constantine P Karakousis
1Department of Surgery, Buffalo General Hospital, State University of New York at Buffalo, Buffalo, NY 14203, USA.
Vascular
|September 23, 2009
Summary
The study compared vein cutdown methods for implantable port placement. Internal jugular and basilic vein cutdowns show potential to be superior to the popular cephalic vein cutdown technique.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Totally implantable access ports are crucial for long-term therapies.
- The percutaneous Seldinger technique is standard for superior vena cava catheter placement.
- Vein cutdowns are an alternative, with cephalic vein cutdown being most common.
Purpose of the Study:
- To evaluate the efficacy of different vein cutdown approaches for access port insertion.
- To compare the success rates and anatomical suitability of cephalic, internal jugular, and basilic vein cutdowns.
Main Methods:
- Review of preliminary clinical experience with various vein cutdown techniques.
- Anatomical assessment of internal jugular and basilic veins for port placement suitability.
- Comparison with established cephalic vein cutdown success rates (approx. 80%).
Main Results:
- Cephalic vein cutdown has an established success rate of approximately 80%.
- External jugular vein cutdown is another frequently used method.
- Preliminary data suggest internal jugular and basilic vein cutdowns possess superior anatomical characteristics.
Conclusions:
- Internal jugular and basilic vein cutdowns may offer improved outcomes compared to cephalic vein cutdowns.
- Further investigation is warranted to confirm the superiority of these alternative approaches.
- Optimizing vein selection can enhance the success of implantable port placement.
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