Explantation of totally implantable venous access ports of the forearm: Reasons for removal and observed complications

Journal of Vascular Access

Volumn 12, Issue 1, 2011, Pages 45-51

  Goltz, Jan P ^a   Kickuth, Ralph ^a   Scholl, Anne ^a   Machann, Wolfram ^a   Ritter, Christian O ^a   Hahn, Dietbert ^a   Wittenberg, Günther ^b  

^a UNIVERSITY OF WÜRZBURG   (Germany)

^b EVANGELISCHES KRANKENHAUS   (Germany)

Author keywords

Catheter removal; Complication; Explantation; Forearm port; Long term central venous access; TIVAP

Indexed keywords

ADHESION; ADULT; ARTICLE; CATHETER REMOVAL; EXPLANT; FEMALE; FOREARM; HUMAN; IMPLANT; INTRAVENOUS CATHETER; MAJOR CLINICAL STUDY; MALE; THROMBOSIS; VASCULAR ACCESS;

EID: 79953700324     PISSN: 11297298     EISSN: None     Source Type: Journal    
DOI: 10.5301/JVA.2010.5849     Document Type: Article

References (25)

1. Biffi R, Pozzi S, Agazzi A, et al. Use of totally implantable central venous access ports for high-dose chemotherapy and peripheral blood stem cell transplantation: results of a monocentre series of 376 patients. Ann Oncol 2004; 15: 296-300.
2. Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW. Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg 1998; 22: 12-6.
3. Lorch H, Zwaan M, Kagel C, Weiss HD. Central venous access ports placed by interventional radiologists: experience with 125 consecutive patients. Cardiovasc Intervent Radiol 2001; 24: 180-4.
4. Lenhart M, Schatzler S, Manke C, et al. [Radiological placement of peripheral central venous access ports at the forearm: technical results and long term outcome in 391 patients] [article in German]. Fortschritt Röntgenstr 2010; 182: 20-8.
5. Hartkamp A, van Boxtel AJ, Zonnenberg BA, Witteveen PO. Totally implantable venous access devices: evaluation of complications and a prospective comparative study of two different port systems. Neth J Med 2000; 57: 215-23.
6. Weber M, Meyer F, Halloul Z. [Spectrum of indications and perioperative management in i.v. port-a-cath explantation: alternative administration of taurolin in case of i.v. port-acath infection] [article in German]. Zentralbl Chir 2009; 134: 350-6.
7. Wilson GJ, van Noesel MM, Hop WC, van de Ven C. The catheter is stuck: complications experienced during removal of a totally implantable venous access device. A single-center study in 200 children. J Pediatr Surg 2006; 41: 1694-8.
8. Fischer L, Knebel P, Schroder S, et al. Reasons for explantation of totally implantable access ports: a multivariate analysis of 385 consecutive patients. Ann Surg Oncol 2008; 15: 1124-9.
9. Salem RR, Ward BA, Ravikumar TS. A new peripherally implanted subcutaneous permanent central venous access device for patients requiring chemotherapy. J Clin Oncol 1993; 11: 2181-5.
10. Sacks D, McClenny TE, Cardella JF, Lewis CA. Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol 2003; 14: S199-202.
11. Starkhammar H, Bengtsson M, Gain TB, et al. A new injection portal for brachially inserted central venous catheter: a multicenter study. Med Oncol Tumor Pharmacother 1990; 7: 281-5.
12. Finney R, Albrink MH, Hart MB, Rosemurgy AS. A costeffective peripheral venous port system placed at the bedside. J Surg Res 1992; 53: 17-9.
13. Brant-Zawadzki M, Anthony M, Mercer EC. Implantation of P.A.S. Port venous access device in the forearm under fluoroscopic guidance. AJR Am J Roentgenol 1993;160:1127-8.
14. Kaufman JA, Salamipour H, Geller SC, Rivitz SM, Waltman AC. Long-term outcomes of radiologically placed arm ports. Radiology 1996; 201: 725-30.
15. Bodner LJ, Nosher JL, Patel KM, et al. Peripheral venous access ports: outcomes analysis in 109 patients. Cardiovasc Intervent Radiol 2000;23:187-93.
16. Marcy PY, Magne N, Castadot P, et al. Radiological and surgical placement of port devices: a 4-year institutional analysis of procedure performance, quality of life and cost in breast cancer patients. Breast Cancer Res Treat 2005;92:61-7.
17. Kurul S, Saip P, Aydin T. Totally implantable venousaccess ports: local problems and extravasation injury. Lancet Oncol 2002; 3: 684-92.
18. Vescia S, Baumgartner AK, Jacobs VR, et al. Management of venous port systems in oncology: a review of current evidence. Ann Oncol 2008; 19: 9-15.
19. Kuriakose P, Colon-Otero G, Paz-Fumagalli R. Risk of deep venous thrombosis associated with chest versus arm central venous subcutaneous port catheters: a 5-year single-institution retrospective study. J Vasc Interv Radiol 2002; 13: 179-84.
20. Baskin JL, Pui CH, Reiss U, et al. Management of occlusion and thrombosis associated with long-term indwelling central venous catheters. Lancet 2009; 374: 159-69.
21. Burzotta F, Romagnoli E, Trani C. Percutaneous removal of an embolized port catheter: description of a new coaxial recovery technique including a case-report. Catheter Cardiovasc Interv 2008; 72: 289-93.
22. Cheng CC, Tsai TN, Yang CC, Han CL. Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases: experience in a single hospital. Eur J Radiol 2009; 69: 346-50.
23. Koseoglu K, Parildar M, Oran I, Memis A. Retrieval of intravascular foreign bodies with goose neck snare. Eur J Radiol 2004; 49: 281-5.
24. Goltz JP, Kellersmann R, Buhler C, Ritter CO, Hahn D, Kickuth R. Failure of minimally invasive arm port retrieval caused by post-thrombotic adhesions of the port catheter. Cardiovasc Intervent Radiol 2010; 33: 444-6.
25. Huang SC, Tsai MS, Lai HS. A new technique to remove a "stuck" totally implantable venous access catheter. J Pediatr Surg 2009; 44: 1465-7.