Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases: Experience in a single hospital

Attention of Cancer Care for Totally Implantable Venous-access Ports Associate Complications the Latest 6 Years Analysis of 400 Cancer Chemotherapy Patients

“…We are better to be careful for pinch-off signs, which are infection, infra-clavicular discomfort, chest discomfort and swellingduring infusion any solutions [9,10]. Chenga reported that their removal ratio of catheter was 98% (90/92) by gooseneck catheter [11]. They could not remove resistances, which migrated and divided to peripheral side.…”

Interventional radiological retrieval of embolized vascular access device fragments

“…In modern practice, a variety of commercially available devices (loop snare, grasping forceps, basket, deflecting wires, and balloon catheters) have been used for percutaneous retrieval of intravascular foreign bodies. Among them, the most popular device is the gooseneck loop snare; the basket is the second most commonly used tool for this purpose (22)(23)(24). When there are no free ends of the catheter accessible, multipurpose catheters can be used to reposition the fragment to the optimal site.…”

Interventional Removal of Intravascular Medical Devices: Methods and Technical Success

“…This correlates with studies by Yang et al [18] that recorded a 91.7 % success rate, as well with the results of Egglin et al [17] with a 97 % rate of success. The study by Cheng et al with 92 patients, the largest to our knowledge, likewise achieved a 97.8 % successful retrieval rate [11]. A 100 % success rate was shown only in rare cases [16].…”

“…Cheng et al described complications in 3.3 % of cases with one patient developing a pronounced hematoma at the puncture site. Temporary ventricular tachycardia was reported in one case; tricuspid valve insufficiency occurred in another -the patient complained of strong chest pains during the intervention [11]. Out of 25 cases, Wang et al described four events of brief and self-limiting arrhythmias [12].…”

“…In their study, Önal et al examined 10 patients, of whom five had broken-off port catheter fragments (50 %) [8]. In 2009 Cheng and associates published a study on the treatment of 92 dislocated port catheter fragments [11]. Likewise, Wang et al investigated 25 port catheter fragments, and determined a dislocation rate of 0.4 %, based on the total number of implanted port catheters [12].…”