Totally implantable venous access port via the femoral vein in a femoral port position with CT‐venography

Abstract

The percutaneous FV approach with CT-V guidance is an option for patients with multiple central venous cannulations, as well as those with bilateral breast cancer, or those undergoing hemodialysis. J. Surg. Oncol. 2016;114:1024-1028. © 2016 Wiley Periodicals, Inc.

Experience in totally implantable venous port catheter: Analysis of 3,000 patients in 12 years

“…Furthermore; femoral, brachial or trapezius placement of TIVPC may be required in cases with a history of multiple central venous catheterizations, bilateral breast cancer, infected tissue or post-radiogenic dermatitis of cutaneous metastasis. [10][11][12] In our study, we did not use any other access for TIVPC except for IJV and SCV.…”

Femoral placement of a totally implantable venous access port with spontaneous catheter fracture: case report

“…Several recent studies reported that the incidence of catheter fracture in a standard position was 1.1%-5.0% (Kurul et al 2002). However, the incidence of catheter fracture in the patients with femoral placement of TIVAP has not been reported (Almasi-Sperling et al 2016;Bertoglio et al 1996;Chen et al 2008;Goltz et al 2014;Kato et al 2016;Wolosker et al 2004). To the best of our knowledge, here, we report the first case of angiosarcoma in a patient who developed a complication of spontaneous catheter fracture following TIVAP implantation in the femoral vein.…”

“…Several retrospective studies reported that femoral placement of a TIVAP was feasible in view of the high technical success rate as well as low early and late complication rates (Almasi-Sperling et al 2016;Bertoglio et al 1996;Chen et al 2008;Goltz et al 2014;Kato et al 2016;Wolosker et al 2004). Even in cases of late complications, infection, catheter occlusion, and blood clots were reported, but not catheter fracture (Almasi-Sperling et al 2016;Bertoglio et al 1996;Chen et al 2008;Goltz et al 2014;Kato et al 2016;Wolosker et al 2004). However, as the catheter fracture in the femoral position has not been previously reported, the reasons why catheter fracture occurred in the femoral placement are unclear.…”

“…As a standard implantation position, TIVAP is usually inserted via the left or right internal jugular vein (IJV) or subclavian vein and implanted in the forearm, upper arm, or chest (Goltz et al 2014;Kurul et al 2002). In patients with central vein occlusions, bilateral breast cancer, infection, cutaneous metastasis, or radiogenic dermatitis, femoral placement of TIVAP is considered as an alternative implantation position (Almasi-Sperling et al 2016;Bertoglio et al 1996;Chen et al 2008;Goltz et al 2014;Kato et al 2016;Wolosker et al 2004).…”

Ultrasound-Guided Totally Implantable Venous Access: Comparison between Arm and Chest Ports in Solid Organ Cancer Patients

“…Totally implantable venous access ports (TIVAPs) are widely used vascular access methods for total parenteral nutrition, fluids, blood products, administration of medical agents, chemotherapy, and hemodynamic monitoring. (1) TIVAPs were introduced in the early 1980s and are currently the most common method for chemotherapy because of their various advantages in long-term administration. (2) Most oncologic guidelines recommend implantable port placement if chemotherapy is required for more than 3 months.…”