Retained port connectors after central venous port removal

The Journal of Vascular Access ◽

10.1177/1129729820987389 ◽

2021 ◽

pp. 112972982098738

Author(s):

Andrew Bodenham ◽

Mark Lansdown ◽

Kieran Horgan

Keyword(s):

Scar Tissue ◽

Port Site ◽

Subcutaneous Nodule ◽

X Rays ◽

Central Venous ◽

Central Venous Port ◽

Venous Port

We report three cases where the connector/sleeve, which helps fix the flexible catheter section to a port injection chamber, was inadvertently left in scar tissue during port removal. Concerned patients presented months later with a palpable subcutaneous nodule, near the port site. The nodules were variably imaged with plain X-rays, mammography or ultrasound with the diagnosis correctly made by a surgeon familiar with devices. Two connectors were removed, and one was left in place following discussions with the patient. Prevention, recognition and management of this problem are discussed.

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Upper Arm Central Venous Port Implantation: A 6-Year Single Institutional Retrospective Analysis and Pictorial Essay of Procedures for Insertion

PLoS ONE ◽

10.1371/journal.pone.0091335 ◽

2014 ◽

Vol 9 (3) ◽

pp. e91335 ◽

Cited By ~ 13

Author(s):

Masatoshi Shiono ◽

Shin Takahashi ◽

Yuichi Kakudo ◽

Masanobu Takahashi ◽

Hideki Shimodaira ◽

...

Keyword(s):

Retrospective Analysis ◽

Central Venous ◽

Upper Arm ◽

Central Venous Port ◽

Venous Port ◽

Port Implantation ◽

Pictorial Essay

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Use of catheter with 2-methacryloyloxyethyl phosphorylcholine polymer coating is associated with long-term availability of central venous port

Scientific Reports ◽

10.1038/s41598-021-84885-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Yuuki Iida ◽

Kumiko Hongo ◽

Takanobu Onoda ◽

Yusuke Kita ◽

Yukio Ishihara ◽

...

Keyword(s):

Odds Ratio ◽

Polymer Coating ◽

Venous Access ◽

Preventive Effect ◽

Central Venous ◽

Factors Associated ◽

Central Venous Port ◽

Venous Port ◽

Venous Access Device

AbstractCentral venous port (CVP) is a widely used totally implantable venous access device. Recognition of risks associated with CVP-related complications is clinically important for safe, reliable, and long-term intravenous access. We therefore investigated factors associated with CVP infection and evulsion, including the device type. A total of 308 consecutive patients with initial CVP implantation between January 2011 and December 2017 were retrospectively reviewed, and the association of clinical features with CVP-related complications were analyzed. Intraoperative and postoperative complications occurred in 11 (3.6%) and 39 (12.7%) patients, respectively. The overall rate of CVP availability at six months was 91.4%. Malignancy and 2-Methacryloyloxyethyl phosphorylcholine (MPC) polymer-coated catheter use were negatively associated with the incidence of CVP infections. Accordingly, malignancy and MPC polymer-coated catheter use were independent predictors for lower CVP evulsion rate (odds ratio, 0.23 and 0.18, respectively). Furthermore, both factors were significantly associated with longer CVP availability (hazard ratio, 0.24 and 0.27, respectively). This retrospective study identified factors associated with CVP-related complications and long-term CVP availability. Notably, MPC polymer-coated catheter use was significantly associated with a lower rate of CVP infection and longer CVP availability, suggesting the preventive effect of MPC coating on CVP infection.

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Technical factors and outcomes in pediatric central venous port placement

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2021.02.055 ◽

2021 ◽

Author(s):

Francesca M. Shilati ◽

Mehul V. Raval ◽

Timothy B Lautz

Keyword(s):

Central Venous ◽

Port Placement ◽

Central Venous Port ◽

Venous Port ◽

Technical Factors

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Flow confirmation study for central venous port in oncologic outpatient undergoing chemotherapy: Evaluation of suspected system-related mechanical complications

European Journal of Radiology ◽

10.1016/j.ejrad.2013.07.003 ◽

2013 ◽

Vol 82 (11) ◽

pp. e691-e696 ◽

Cited By ~ 4

Author(s):

Keitaro Sofue ◽

Yasuaki Arai ◽

Yoshito Takeuchi ◽

Kazuro Sugimura

Keyword(s):

Central Venous ◽

Central Venous Port ◽

Mechanical Complications ◽

Venous Port

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Interventional Treatment of Chemical Pleuritis and Hemothorax Caused by Iatrogenic Internal Jugular Vein Perforation after Central Venous Port System Implantation: A Case Report

Journal of the Korean Society of Radiology ◽

10.3348/jksr.2020.0032 ◽

2020 ◽

Vol 81 (6) ◽

pp. 1459

Author(s):

Do Woo Kim ◽

Young Hwan Kim ◽

Ung Rae Kang

Keyword(s):

Case Report ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Interventional Treatment ◽

Central Venous ◽

Central Venous Port ◽

Venous Port ◽

Port System ◽

Venous Port System

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Room-temperature thermodilution cardiac output: proximal injectate lumen vs proximal infusion lumen

American Journal of Critical Care ◽

10.4037/ajcc1993.2.2.132 ◽

1993 ◽

Vol 2 (2) ◽

pp. 132-133

Author(s):

GR Pesola ◽

B Ayala ◽

L Plante

Keyword(s):

Cardiac Output ◽

Room Temperature ◽

Central Venous ◽

Right Heart ◽

Thermodilution Cardiac Output ◽

Central Venous Port ◽

Venous Port ◽

Port Design ◽

Venous Infusion ◽

Cardiac Output Measurements

OBJECTIVE: To assess the accuracy of room-temperature thermodilution cardiac output measurements from the venous infusion port. DESIGN: Central venous port cardiac output measurements were compared with venous infusion port measurements in 48 right-heart catheters. INTERVENTION: Three 10-mL injections of 5% dextrose in water were made through each port. The order of port injection was random. RESULTS: The cardiac outputs were 5.8 +/- 1.8 L/min from both ports, with no difference between ports (paired t test). CONCLUSION: Room-temperature thermodilution cardiac output determinations from the venous infusion port can be used in place of central venous port cardiac outputs if the central venous port becomes nonfunctional.

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