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Intraperitoneal catheters: percutaneous placement with fluoroscopic guidance
I R Kirk1, C H Carrasco, D D Lawrence
1Department of Diagnostic Radiology, University of Texas M.D. Anderson Cancer Center 77030.
Journal of Vascular and Interventional Radiology : JVIR
|March 1, 1993
Summary
Percutaneous intraperitoneal catheter placement for chemotherapy is safe and effective, with a low complication rate of 5%. This technique offers technical advantages over surgical placement for managing gastrointestinal and gynecologic malignancies.
Area of Science:
- Oncology
- Surgical Oncology
- Interventional Radiology
Background:
- Intraperitoneal chemotherapy delivery is crucial for treating gastrointestinal and gynecologic malignancies.
- Traditional surgically placed catheters have reported complication rates of 12%-16%.
- Percutaneous catheter placement offers a potentially less invasive alternative.
Purpose of the Study:
- To evaluate the complication rate of percutaneous intraperitoneal catheter placement.
- To compare this rate with existing data for surgical placement.
- To demonstrate the technical advantages of the percutaneous approach.
Main Methods:
- A retrospective review of 152 procedures in 76 patients with malignancies.
- Catheter insertion using local anesthesia and a modified Seldinger technique.
- Catheters used for chemotherapy administration and ascites drainage.
Main Results:
- Successful catheter placement in 95% of procedures.
- A low overall complication rate of 5%, with mild peritonitis in four cases and pain requiring removal in two.
- Catheters remained in place for varying durations, with some exceeding 10 days.
Conclusions:
- Percutaneous intraperitoneal catheterization is a safe and effective technique.
- The procedure can be performed with local anesthesia and a low complication rate.
- Catheters can be safely maintained for extended periods.