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 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.

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

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 Causes of Fracture at Catheter of Totally Implantable Venous Access Port: A Systematic Review

2020 ◽  
Author(s):  
Wala Ben Kridis ◽  
Nabil Toumi ◽  
Afef Khanfir
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Venous Access ◽  
Middle Part ◽  
Port Catheter ◽  
Access Port ◽  
Extrinsic Compression ◽  
Catheter Tip ◽  
Venous Access Port ◽  
Catheter Fracture

A totally implantable venous access port (TIVAP) plays a crucial role in the treatment of patients in oncology. Catheter fracture is a serious complication with an estimated incidence of 0, 1% - 1%. The objective of this systematic review is to analyze the mechanism of TIVAP fracture to make physicians aware of this fatal entity. A search of the literature between 1980 and 2019 was conducted using PubMed, Ovid, MEDLINE, and Cochrane Systematic Review databases. The search identified 18 case reports and 8 retrospective studies. Fracture of the middle part of the catheter may be induced by constant compression of the catheter between the first-rib and clavicle, which is called the pinch-off syndrome. Catheter fracture at the port-catheter junction may be caused by extrinsic compression near the port-catheter junction combined with material fatigue due to repeated bending of the catheter with shoulder movement. There is no specific cause for the fracture of a catheter tip. An annual chest X-ray is recommended for the early detection of TIVAP catheter fracture. Percutaneous endovascular retrieval of a dislodged Port-A catheter is both safe and effective. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2020;57(12):686-689.

Risk Factors for Totally Implantable Central Venous Access Port-related Infection in Patients With Malignancy

2021 ◽  
Vol 41 (3) ◽  
pp. 1547-1553
Author(s):  
SATORU FURUHASHI ◽  
YOSHIFUMI MORITA ◽  
SHINYA IDA ◽  
RYUTA MURAKI ◽  
RYO KITAJIMA ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Access Port ◽  
Venous Access Port

Late fracture of Groshong ports: A report of the three cases

2019 ◽  
Vol 20 (5) ◽  
pp. 563-566 ◽  
Author(s):  
Fumito Saijo ◽  
Mitsuhisa Mutoh ◽  
Joho Tokumine ◽  
Odaka Yoshinobu ◽  
Hikaru Hama ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Access ◽  
Access Device ◽  
Device Implantation ◽  
Catheter Fracture ◽  
Venous Access Device ◽  
Enhanced Computed Tomography ◽  
Venous Access Devices

Background: Totally implantable venous access devices are valuable tools for total parenteral nutrition, chemotherapy, and long-term intravenous therapy. However, late catheter fracture is a well-known complication of totally implantable venous access device, particularly in Groshong silicone catheter. Recently, a specific type of totally implantable venous access device made with Groshong silicone has been introduced to facilitate power injection of contrast medium for enhanced computed tomography. Cases description: We reported three cases of catheter fracture in power-injectable Groshong silicone totally implantable venous access device. From May 2012 to August 2014, 66 patients underwent power-injectable Groshong silicone totally implantable venous access device implantation at our institution, with a median follow-up of 20.1 (range 0.2–58.1) months. The catheters in all patients were inserted into the internal jugular vein under ultrasound guidance and were connected to the port implanted in the upper chest through the subcutaneous tunnel. Chemotherapy was administered using these routes. Fractures of all three cases specifically showed a torn catheter section: smooth surface on one side, and a rough edge on the other side of the catheter, suggesting that long-term repeated stretch force may be related with the mechanism of fracture. Conclusion: Totally implantable venous access devices with Groshong silicone catheters, if inserted via the internal jugular vein, have a potential risk for late catheter fracture.

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