A fully implantable drug delivery system has been shown to overcome ma
ny of the problems of long-term venous access. Traditionally these hav
e required surgical implantation but we describe a simple, cost-effect
ive and successful technique for the percutaneous insertion of an impl
antable vascular device (Vascuport, Ohmeda) in the angiography suite u
nder local anaesthesia. It was successful in all 19 patients in whom i
t was attempted, with only one minor complication. We recommend that t
he procedure should be performed in X-ray departments using screening
and conventional guidewire techniques.