Subcutaneous Port Malfunction: A Retrospective Comparison Between Internal Jugular and Subclavian Vein Access

2015 ◽  
Vol 20 (4) ◽  
pp. 229-234
Author(s):  
Mahmoud Samman ◽  
Tomas Mujo ◽  
John J. Harris ◽  
Douglas M. Coldwell ◽  
Melissa Hite-Potts ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Preventive Measures ◽  
Jugular Vein ◽  
Venous Access ◽  
Port Catheter ◽  
Port Placement ◽  
Access Port ◽  
Vein Access ◽  
Retrospective Comparison

Abstract Purpose: To evaluate malfunction rates of subcutaneous chest ports placed via the internal jugular and subclavian veins. Analysis and preventive measures to reduce the risk of complication between the 2 sites of venous access will be discussed. Methodology: Retrospective review of 114 patients with malfunctioning subcutaneous port-a-catheters was performed. Of those 114 patients, 77 had venous access via a subclavian approach, whereas the remaining 37 had internal jugular vein access. Port insertion placement was evaluated and analysis of the malfunction rate was performed. Results: There were 36 patients with 38 subcutaneous port malfunctions from internal jugular vein access. Thirty-four of 38 complications (89%) were not related to insertion and 4 out of 38 (11%) were related to vascular access approach. Seventy-seven patients with malfunctioning subcutaneous ports placed via the subclavian vein had a total of 127 complications. Twenty-eight of 127 complications (22%) were not related to insertion and 99 out of 127 (78%) of the complications were directly related to venous access approach. Conclusions: Subcutaneous port placement complications can be avoided by measuring the length of the port catheter under fluoroscopic guidance and positioning the tip within 2 cm of the cavoatrial junction. Also, the jugular vein should be the first site for access unless patient circumstances do not permit this approach.

scholarly journals Analysis of risk factors for implantable venous access port catheter fracture with internal jugular vein

2020 ◽  
Vol 9 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Ning Ai ◽  
Li Li ◽  
Fenghua Yin ◽  
Zhigang Li ◽  
Cuizhi Geng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Access ◽  
Port Catheter ◽  
Access Port ◽  
Venous Access Port ◽  
Catheter Fracture

scholarly journals A Comparison of Outcomes and Complications of Totally Implantable Access Port Through the Internal Jugular Vein Versus the Subclavian Vein

2014 ◽  
Vol 99 (2) ◽  
pp. 182-188 ◽  
Author(s):  
Yoshinobu Nagasawa ◽  
Tomoharu Shimizu ◽  
Hiromichi Sonoda ◽  
Eiji Mekata ◽  
Masato Wakabayashi ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Statistical Significance ◽  
Late Complication ◽  
Insertion Site ◽  
Multivariate Logistic Regression Analysis ◽  
Late Complications ◽  
Complication Rates ◽  
Access Port

Abstract Totally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian vein (SV). Data on clinicopathologic parameters and early/late complications were retrospectively collected. No differences were found early and late complication rates. Catheter injury was observed more frequently in the IJV group (2.9%) than in the SV group (1.0%) without statistical significance. Multivariate logistic regression analysis showed that age, switch to palliative use of TIAP, and the distribution of diseases (low risk in patients with colorectal cancer) were independent risk factors for determining complications. In conclusion, TIAP insertion site showed no impact on the early and late complication rates. Catheter injury appears to occur at the same frequency with both approaches. Therefore, medical doctors may choose their preferred puncture site when performing TIAP insertion.

scholarly journals Port Placement via the Anterior Jugular Venous System: Case Report, Anatomic Considerations, and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Gernot Rott ◽  
Frieder Boecker
Keyword(s):  
Jugular Vein ◽  
Central Venous Access ◽  
Venous Access ◽  
Venous System ◽  
Port Catheter ◽  
Central Venous ◽  
Port Placement ◽  
Total Occlusion ◽  
Port Implantation ◽  
The Right

We report on a patient who was referred for port implantation with a two-chamber pacemaker aggregate on the right and total occlusion of the central veins on the left side. Venous access for port implantation was performed via left side puncture of the horizontal segment of the anterior jugular vein system (AJVS) and insertion of the port catheter using a crossover technique from the left to the right venous system via the jugular venous arch (JVA). The clinical significance of the AJVS and the JVA for central venous access and port implantation is emphasised and the corresponding literature is reviewed.

Late complications associated with totally implantable venous access port implantation via the internal jugular vein

2019 ◽  
Vol 28 (6) ◽  
pp. 2761-2768 ◽  
Author(s):  
Shigeaki Tsuruta ◽  
Yasutomo Goto ◽  
Hideo Miyake ◽  
Hidemasa Nagai ◽  
Yuichiro Yoshioka ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Access ◽  
Late Complications ◽  
Access Port ◽  
Port Implantation ◽  
Venous Access Port

scholarly journals Totally implantable venous access port insertion via open Seldinger approach of the internal jugular vein—a retrospective risk stratification of 500 consecutive patients

2021 ◽  
Author(s):  
Felix Becker ◽  
Lennart A. Wurche ◽  
Martina Darscht ◽  
Andreas Pascher ◽  
Benjamin Struecker
Keyword(s):  
Risk Factors ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Intraoperative Complications ◽  
Venous Access ◽  
Access Port ◽  
Oncological Treatment ◽  
Number Of Patients ◽  
Venous Access Port

Abstract Purpose Modern oncological treatment algorithms require a central venous device in form of a totally implantable venous access port (TIVAP). While most commonly used techniques are surgical cutdown of the cephalic vein or percutaneous puncture of the subclavian vein, there are a relevant number of patients in which an additional strategy is needed. The aim of the current study is to present a surgical technique for TIVAP implantation via an open Seldinger approach of the internal jugular vein and to characterize risk factors, associated with primary failure as well as short- (< 30 days) and long-term (> 30 days) complications. Methods A total of 500 patients were included and followed up for 12 months. Demographic and intraoperative data and short- as well as long-term complications were extracted. Primary endpoint was TIVAP removal due to complication. Logistic regression analysis was used to analyze associated risk factors. Results Surgery was primarily successful in all cases, while success was defined as functional (positive aspiration and infusion test) TIVAP which was implanted via open Seldinger approach of the jugular vein at the intended site. TIVAP removal due to complications during the 1st year occurred in 28 cases (5.6%) while a total of 4 (0.8%) intraoperative complications were noted. Rates for short- and long-term complications were 0.8% and 6.6%, respectively. Conclusion While the presented technique requires relatively long procedure times, it is a safe and reliable method for TIVAP implantation. Our results might help to further introduce the presented technique as a secondary approach in modern TIVAP surgery.

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