Relationship between Chest Port Catheter Tip Position and Port Malfunction after Interventional Radiologic Placement

Outcome analysis in 3,160 implantations of radiologically guided placements of totally implantable central venous port systems

“…difficult or impossible infusion or aspiration [50][51][52]. Catheter tips, which are placed above the superior vena cava increase the risk of catheter dysfunction in comparison to correct catheter tip placement at the cavo-atrial junction [52]. Petersen et al described such dysfunctions beginning at catheter positions of more than 4 cm above the cavo-atrial junction [50].…”

“…Significantly higher rates of catheter dysfunction are described in port systems with incorrect catheter positioning; i.e. difficult or impossible infusion or aspiration [50][51][52]. Catheter tips, which are placed above the superior vena cava increase the risk of catheter dysfunction in comparison to correct catheter tip placement at the cavo-atrial junction [52].…”

Feasibility and Safety of Endovascular Stripping of Totally Implantable Venous Access Devices

“…Totally implantable venous access devices (TIVADs) are commonly used in oncohematology patients for long-term intravenous administration of chemotherapy agents and for blood aspiration [1][2][3][4]. Catheter-related sleeve is one of the most common causes of obstruction of long-term central venous catheters [5].…”

Percutaneous Endovascular Salvage Techniques for Implanted Venous Access Device Dysfunction

“…Different guidewires can also be placed in the pigtail to adjust stiffness as needed (not shown) Catheter tip position has been reported to be a precipitating factor for catheter dysfunction [4,14,15]. Catheter tips that are located in the brachiocephalic vein or the upper part of SVC have been associated with a greater rate of dysfunction [14,16,17]. Every case in our series that required additional maneuvers, such as mechanical adhesiolysis, presented with a catheter tip located in a suboptimal position, most commonly in the innominate vein or the upper third of the SVC.…”