Report On Long final version 22.4.10

Implantation of port systems
Implantation of the port system via the
right subclavian vein would prove to be
technically difficult due to prior placement
of a cardiac pacemaker. Moreover the left
jugular vein was chronically occluded. The
catheter lines were passed easily via the
right internal jugular vein (fig. 3, 4, 5).
After implantation hemodialysis could
proceed and continue without problems
(fig. 6).
Fig. 3: Surgical field of right internal jugular vein
Fig. 6: Depiction of an implanted port system
Fig. 4: Operative field port system
After disinfection and sterile draping of the
puncture sites each port chamber is
accessed with the special port needles. The
dialysis nurse wears sterile gloves and a
mask. The portal lock solution is aspirated.
The system is then flushed with
physiologic saline. Upon termination of
dialysis 46% citrate solution is once again
injected. 3-point rotation of the membrane
is recommended to ensure even
distribution of puncture points to prevent
excessive wear of the membrane material.
Fig. 5: Post-op x-ray of port system
Conducting hemodialysis via port
system