Thanks all,
here is the procedure description from the op report:
....... one percent lidocaine with bicarb was used for local infiltration prior to all needle pokes and incisions. a right subclavian vein access was not successful and so a right internal jugular vein was easily accessed. guidewire was passed info the vein. this was confirmed to be in proper position under fluoroscopy. a small incision was made on the skin and then this tract was dilated and then a sheath was passed over the guidewire. the guidewire and dilator were then removed and the catherer for smart port was then passed through the sheath and the sheath was peeled away. a site was chosen on the check for the port placement. an incision was created. this was carried down to the fascia overlying the pectoralis muscles and a pocket was created for the port. the catheter was then tunneled under the skin in the subcutaneous space down to the pocket. its position, again, was confirmed to be in proper position under fluoroscopy, cut to an appropriate lenght and attached to the port. the port was then placed in the pocket and secured to the fascia with 2-0 Prolene sutures. the port and catheter were easily aspirated and flushed with injectable saline. hemostasis was controlled using Bovie cautery. subcutaneous tissue was reapproximated with 3-0 vicryl interrupted sutures. ........