Management of Port Occlusions in Adults: Different-Site Replacement versus Same-Site Salvage

Pabon‐Ramos, Waleska M.; Soyinka, Oretunlewa; Smith, Tony P.; Ronald, James; Suhocki, Paul V.; Kim, Charles Y.

doi:10.1016/j.jvir.2019.02.027

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…Stripping of the sleeve using a snare [59][60][61][62][63][64][65][66] has proven to be useful to restore function in ports with FS-related malfunction, though its cost-effectiveness may be questionable. Endoluminal dilatation by ballooning (disruption of the sleeve by stretching) has been introduced by Hong 67 and later used by other authors, 68,69 not only for FS removal but also for removal of adhesions between the vein wall and catheter or between the vein wall and transvenous pacemaker leads.…”

Section: Treatmentmentioning

confidence: 99%

The fibroblastic sleeve, the neglected complication of venous access devices: A narrative review

2020

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The presence of a vascular access device (or of any intravascular foreign body) inside the bloodstream is often associated with the formation of a connective tissue sleeve around the catheter (often named—erroneously—“fibrin sleeve”). Such sleeve is usually a physiological phenomenon with little or no clinical relevance, but its pathogenesis is still unclear, so that it is frequently confused with venous thrombosis; also, its relationship with other major catheter-related complications, such as venous thrombosis and bloodstream infection, is uncertain. This narrative review tries to convey in a systematic form the current knowledge about pathogenesis, incidence, clinical manifestations, diagnosis, and management of this phenomenon.

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Section: Treatmentmentioning

confidence: 99%

The fibroblastic sleeve, the neglected complication of venous access devices: A narrative review

2020

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“…However, a recent analysis of 95 port patients by Pabon-Ramos et al found that same-site port salvage had no statistical difference in patency, risk of infection, or risk of malfunction compared to different-site port replacement. 21 Therefore, port salvage reduces cost and scarring without any sacrifice in quality or functionality. The technique identified in this study provides a welcome new addition to established advanced port salvage techniques.…”

Section: Discussionmentioning

confidence: 99%

Pipe-Cleaning Plugged Portacaths: How to Unclog an Implanted Port After Development of a Fibrin Sheath

Hagaman

Matteo

Kee-Sampson

et al. 2020

Vasc Endovascular Surg

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Industry has long fought the battle to design a vascular catheter that is less thrombogenic. Indwelling catheters provide long-term central venous access, but they develop fibrin sheaths as the vascular system recognizes them as foreign bodies. Peripheral catheters and central catheters can be changed over a guidewire when they form a fibrin sheath or otherwise malfunction. However, totally implantable venous access devices such as a port cannot be easily exchanged over a wire. Therefore, when a port malfunctions, thrombolytics are usually the only option attempted before the port is explanted and a new site is prepared for access. We present a minimally invasive technique demonstrating port salvage that does not require explant.

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Replacement Versus Same-Site Salvage Using Hickman Catheter for Pediatric Stem Cell Transplantation Patients: A Comparative Study

Bawazir

Binyahib

Bawazir

et al. 2021

Annals of Vascular Surgery

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Management of Port Occlusions in Adults: Different-Site Replacement versus Same-Site Salvage

Cited by 5 publications

References 13 publications

The fibroblastic sleeve, the neglected complication of venous access devices: A narrative review

The fibroblastic sleeve, the neglected complication of venous access devices: A narrative review

Pipe-Cleaning Plugged Portacaths: How to Unclog an Implanted Port After Development of a Fibrin Sheath

Replacement Versus Same-Site Salvage Using Hickman Catheter for Pediatric Stem Cell Transplantation Patients: A Comparative Study

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