Spontaneous fracture and migration of catheter of a totally implantable venous access port via internal jugular vein - a case report

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

Annals of Palliative Medicine ◽

10.21037/apm.2019.12.04 ◽

2020 ◽

Vol 9 (1) ◽

pp. 30-36 ◽

Cited By ~ 1

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

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Analysis of the Outcomes in Central Venous Access Port Implantation Performed by Residents via the Internal Jugular Vein and Subclavian Vein

Journal of Surgical Education ◽

10.1016/j.jsurg.2016.11.005 ◽

2017 ◽

Vol 74 (3) ◽

pp. 443-449 ◽

Cited By ~ 5

Author(s):

Hajime Matsushima ◽

Tomohiko Adachi ◽

Toru Iwata ◽

Takashi Hamada ◽

Hiroki Moriuchi ◽

...

Keyword(s):

Internal Jugular Vein ◽

Subclavian Vein ◽

Jugular Vein ◽

Central Venous Access ◽

Venous Access ◽

Central Venous ◽

Access Port ◽

Port Implantation ◽

Venous Access Port

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A CASE REPORT OF SPONTANEOUS FRACTURE IN A CATHETER OF A TOTALLY IMPLANTABLE VENOUS ACCESS PORT

The journal of the Japanese Practical Surgeon Society ◽

10.3919/ringe1963.54.2702 ◽

1993 ◽

Vol 54 (10) ◽

pp. 2702-2704

Author(s):

Eiji SUGAWARA ◽

Masato SUGA ◽

Mitsuhiro SODA ◽

Shigeru TERAMOTO ◽

Masayoshi KOJO

Keyword(s):

Case Report ◽

Venous Access ◽

Access Port ◽

Spontaneous Fracture ◽

Venous Access Port

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Migration of catheter of a totally implantable venous access port to right thoracic cavity in a child - a case report

10.21203/rs.3.rs-146991/v1 ◽

2021 ◽

Author(s):

Qiteng Xu ◽

Yueyi Ren ◽

Yifei Hu ◽

Shuhua Duan ◽

Rui Chen ◽

...

Keyword(s):

Venous Access ◽

Thoracic Cavity ◽

Severe Condition ◽

Access Port ◽

Intravenous Antibiotics ◽

Catheter Tip ◽

Life Threatening ◽

Venous Access Port ◽

And Migration ◽

The Right

Abstract BackgroundThe totally implantable venous access port (TIVAP) is a secure and practical choice for children undergoing long-term chemotherapy. Nevertheless, various complications still need to be treated cautiously. Among the complications, the migration of catheters to the thoracic cavity is a very rare (but potentially severe) condition that may necessitate device reimplantation. Furthermore, this migration may even be life-threatening if it is not detected in time.Case presentationA 1-year-old girl undergoing palliative chemotherapy underwent TIVAP placement via the right internal jugular vein. During the operating procedure, the catheter tip was located in the right atrium, which was confirmed by the use of C-arm. Prophylactic intravenous antibiotics were then adopted with routine aspiration and with flushing being conducted each time before administration. Massive right pleural effusion and migration of the catheter tip to the right thoracic cavity were detected on the 2nd day after implantation, which resulted in the removal and reimplantation of the TIVAP device.ConclusionsThe migration of the catheter into the thoracic cavity should be considered a possible complication of TIVAP implantation in children. Early detection and reimplantation may provide opportunities for the prevention of further severe complications.

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