TY - JOUR T1 - Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience JF - In Vivo JO - In Vivo SP - 179 LP - 184 VL - 32 IS - 1 AU - MARTIN JONCZYK AU - BERNHARD GEBAUER AU - ROMAN ROTZINGER AU - DIRK SCHNAPAUFF AU - BERND HAMM AU - FEDERICO COLLETTINI Y1 - 2018/01/01 UR - http://iv.iiarjournals.org/content/32/1/179.abstract N2 - Background: Totally implantable central venous port systems provide a safe and effective, long-term means of access for administration of hyperosmolar, local irritant medication, such as chemotherapy, antibiotics and parenteral nutrition. Aim: To evaluate the combination of access site and level of experience on fluoroscopy times (FT) and dose area products (DAP) during implantation of port catheters in a large patient population. Materials and Methods: A total of 1,870 patients (992 women, 878 men; age: 61±13.14 years) were reviewed investigating two groups of junior (≤50 implantations) and senior (>50) radiologists. Results: Senior radiologists required less FT/DAP (0.24 s/57.3 μGy m2 versus 0.43 s/68.2 μGy m2, respectively; p<0.001). Right jugular vein access required the least FT/DAP (0.25 s/56.15 μGy m2) and right-sided implantation lower FT/DAP (right: 0.26 s/56.4 μGy m2, left: 0.40 s/85.10 μGy m2, p<0.001). Conclusion: Due to DAP/FT reductions, the right jugular vein seems to be the most favorable implantation side for port systems. For further dose reduction, residents should be well-trained. ER -