{"id":5692,"date":"2026-08-31T14:43:01","date_gmt":"2026-08-31T12:43:01","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5692"},"modified":"2026-08-31T14:43:01","modified_gmt":"2026-08-31T12:43:01","slug":"cvja-2026-027","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2026-027\/","title":{"rendered":"Is routine chest X-ray necessary after ultrasound-guided TIVAP insertion through the internal jugular vein?"},"content":{"rendered":"
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\r\n \r\n \r\nK\u00fcbra G\u00f6zac\u0131k Karako\u00e7, Tamer Cebe, An\u0131l Akba\u015f, Bekir Y\u0131ld\u0131z, G\u00f6khan Karako\u00e7\r\n<\/div> \r\n<\/div> \r\n
\r\n Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n of Cardiovascular Journal of Africa.<\/div>\r\n
<\/div> \r\n
\r\n
\r\n Abstract \r\n <\/div> \r\n \r\n
\r\n \r\n \r\n \r\n \r\n\r\n Objectives:<\/strong> \r\n \r\nThis study evaluated routine chest X-ray necessity following ultrasound-guided totally implantable venous access port (TIVAP) placement via internal jugular vein.\r\n
\r\n\r\n Materials and methods:<\/strong> \r\n \r\nWe retrospectively analysed 97 adults who underwent ultrasound-guided TIVAP placement at a tertiary cardiovascular surgery clinic in Eastern Turkey (December 2023\u2013December 2024). Intraoperative port functionality (blood aspiration\/fluid infusion) and post-procedural chest X-ray findings were assessed. Catheter positions were categorised as optimal, suboptimal, or malpositioned.\r\n
\r\n \r\n \r\n Results:<\/strong> \r\n \r\nAmong 97 patients (56.7% male; mean age 57.4 \u00b1 15.0 years), pneumothorax occurred in one patient (1.0%), requiring intervention. Nineteen patients (19.6%) had suboptimal\/malpositioned catheter tips but required no corrective action as port functionality remained intact. Radiographic findings prompted intervention in only one patient (1.0%).\r\n
\r\n\r\n Conclusions:<\/strong> \r\n \r\nRoutine post-procedural chest X-ray identified catheter tip malpositioning in a subset of patients; however, these findings did not alter clinical management in the absence of port dysfunction. Selective imaging in patients with failed port functionality may safely reduce unnecessary radiation exposure and healthcare costs without compromising outcomes.\r\n
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\r\n \r\n Keywords:<\/strong> \r\n \r\n totally implantable venous access port, ultrasound-guided, internal jugular vein, chest X-ray, pneumothorax<\/strong> \r\n \r\n <\/div> \r\n \r\n
\r\n \r\n Submitted:<\/strong> October 26, 2025; \r\n Accepted:<\/strong> May 18, 2026; \r\n Published:<\/strong> August 28, 2026
\r\n Cardiovasc J Afr 2025; 37<\/b>: 358-364<\/em>\r\n
Volume 37, Issue 3<\/strong>
\r\n <\/div> \r\n \r\n
\r\n DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2026-027 \r\n <\/div> \r\n \r\n
\r\n\r\n\r\nDepartment of Cardiovascular Surgery, Batman Training and Research Hospital, Batman, Turkey\r\n\r\n<\/strong>
\r\nK\u00fcbra G\u00f6zac\u0131k Karako\u00e7
\r\nTamer Cebe
\r\nAn\u0131l Akba\u015f
\r\nBekir Y\u0131ld\u0131z\r\n

\r\n\r\nBiostatistics and Medical Informatics, Model Statistics CRO and Clinical Trials Centre, Kayseri, Turkey\r\n\r\n<\/strong>
\r\nG\u00f6khan Karako\u00e7\r\n

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[\/soshsc]\r\n \r\n \r\n \r\n <\/div>\r\n \r\n<\/div>","protected":false},"excerpt":{"rendered":"

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