RESUMEN:
Introducción: El implante de catéteres con puerto subcutáneo es un procedimiento que ha demostrado beneficios para los pacientes que requieren quimioterapia. A lo largo del tiempo este procedimiento se ha hecho cada vez más frecuente en manos del radiólogo intervencionista. Objetivo: Revisar la incidencia de complicaciones del implante de catéteres con reservorio subcutáneo para quimioterapia por radiología intervencionista en nuestra institución. Métodos: Se realiza una revisión retrospectiva de los registros electrónicos en un periodo de 31 meses desde el inicio de la realización del procedimiento en nuestra institución para evaluar la incidencia de complicaciones. Resultados: Entre marzo de 2019 y septiembre de 2021 se implantaron un total de 377 catéteres para quimioterapia, procedimiento llevado a cabo en la sala de fluoroscopia bajo anestesia local, excepto uno que se realizó en salas de cirugía bajo anestesia general. La incidencia de complicaciones fue relativamente baja alcanzando un 8,2% y el espectro de complicaciones incluyó neumotórax, dehiscencia de suturas, infección, rotación y extrusión del puerto. Conclusión: Nuestros resultados indican que los catéteres centrales con puerto subcutáneo pueden ser rutinariamente implantados en forma segura en la sala de fluoroscopia bajo anestesia local por el radiólogo intervencionista bajo guía ecográfica y fluoroscópica.

Summary:
Introduction: Subcutaneous port catheter implantation is a procedure that has shown benefits for patients requiring chemotherapy. Over time, this procedure has become more and more frequent in the hands of the interventional radiologist. Objective: To review the incidence of complications of the implantation of catheters with subcutaneous reservoir for chemotherapy by interventional radiology in our institution. Methods: A retrospective review of the electronic records was carried out in a period of 31 months from the start of the procedure in our institution to assess the incidence of complications. Results: Between March 2019 and September 2021, a total of 377 chemotherapy catheters were implanted, a procedure carried out in the fluoroscopy suite under local anesthesia, except for one that was performed in the operating room under general anesthesia. The incidence of complications was relatively low, reaching 8.2%, and the spectrum of complications included pneumothorax, suture dehiscence, infection, port rotation and port extrusion. Conclusion: Our results indicate that central catheters with subcutaneous port can be implanted safely in the fluoroscopy suite under local anesthesia by the interventional radiologist under ultrasonographic and fluoroscopic guidance.

Summary:
Introduction: Subcutaneous port catheter implantation is a procedure that has shown benefits for patients requiring chemotherapy. Over time, this procedure has become more and more frequent in the hands of the interventional radiologist. Objective: To review the incidence of complications of the implantation of catheters with subcutaneous reservoir for chemotherapy by interventional radiology in our institution. Methods: A retrospective review of the electronic records was carried out in a period of 31 months from the start of the procedure in our institution to assess the incidence of complications. Results: Between March 2019 and September 2021, a total of 377 chemotherapy catheters were implanted, a procedure carried out in the fluoroscopy suite under local anesthesia, except for one that was performed in the operating room under general anesthesia. The incidence of complications was relatively low, reaching 8.2%, and the spectrum of complications included pneumothorax, suture dehiscence, infection, port rotation and port extrusion. Conclusion: Our results indicate that central catheters with subcutaneous port can be implanted safely in the fluoroscopy suite under local anesthesia by the interventional radiologist under ultrasonographic and fluoroscopic guidance.