The purpose of this study was to report our
results of totally implantable access ports (TIAP) approached
via the femoral vein. Patients and Methods:
Seven patients were enrolled. The mean age was 62
years. Four patients were male, and 3 patients were female.
Six patients received TIAP via the right femoral
vein and 1 patient via the left femoral vein. All patients
underwent local anesthesia. The reason for femoral vein
TIAP placement, mean operative time, follow-up time
and complications were recorded. Results: The mean operative
time was 37 ± 12 min, the mean follow-up time
13.5 ± 12.0 months. The causes for repeat TIAP or conversion
to femoral vein access are as follows: In 2 cases
repeat TIAP was associated with thrombus formation in
the subclavian vein, 2 cases developed a superior vena
cava syndrome (one was accompanied by chest wall invasion),
2 cases showed repeat catheter obstruction, and
in 1 case infection and catheter obstruction was found.
Five of the 7 patients had 2 TIAP before, 2 patients only 1
TIAP. All interventions remained free of complications.
Conclusion: TIAP via conventional central venous access
such as jugular, subclavian or brachial veins are simple.
However, not all cases are suitable for these methods.
We present an alternative method of central vein access:
the approach via the femoral vein. This method is safe
and simple, but the port site should be placed far away
from the groin region to avoid infections.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.