Ultrasound-guided Subclavian Vein Puncture Versus Cephalic Vein Dissection for Venous Access Port Implantation

Ultrasound-guided Subclavian Vein Puncture Versus Cephalic Vein Dissection for Totally Implantable Venous Access Port Implementation: a Single-center Controlled Randomized Superiority Trial

The purpose of this study is to compare two different surgical techniques for implementation of totally implantable central venous access ports. Ultrasound-guided suclavian vein puncture is compared to cephalic vein dissection.

Inclusion Criteria:

• Age > 18
• Informed consent
• Need for central venous access port implementation under local anesthesia

Exclusion Criteria:

• Impaired blood clotting
• Ongoing antiplatelet drugs therapy, except acetylsalicylic acid
• Trauma or surgical past history on both shoulder girdles
• Known central venous thrombosis (subclavian vein, upper vena cava)
• Known pneumothorax
• Septic state
• Agranulocytosis