An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein

Authors

DOI:

https://doi.org/10.28982/josam.594025

Keywords:

Totally implantable venous access port, Catheter malposition, Complication, Adverse event

Abstract

Totally implantable venous access port (TIVAP) devices have been used increasingly for repetitive chemotherapy administration, long-term parenteral nutrition, blood sampling and blood transfusion for last years. Several potential complications including catheter malposition can occur during the insertion of TIVAP devices. Catheter malposition is a less commonly reported and an important complication of TIVAP insertion. In this article, we presented an uncommon case report of catheter malposition following TIVAP insertion in a 47-year-old woman. To the best of our knowledge, this is the first reported case of mispositioned TIVAP where the tip of the catheter is in the right axillary vein.

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References

Deser SB, Demirag MK. Analysis of totally implantable venous access of 70 cases with modified fast track technique. Turk J Vasc Surg. 2017;26:39-44.

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.

Roldan CJ, Paniagua L. Central venous catheter intravascular malpositioning: causes, prevention, diagnosis, and correction. West J Emerg Med. 2015;16:658-64.

Niederhuber JE, Ensminger W, Gyves JW, Liepman M, Doan K, Cozzi E. Totally implanted venous and arterial access system to replace external catheters in cancer treatment. Surgery. 1982;92:706-12.

Kurul S, Saip P, Aydin T. Totally implantable venous-access ports: local problems and extravasation injury. Lancet Oncol. 2002;3:684-92.

Walshe C, Phelan D, Bourke J, Buggy D. Vascular erosion by central venous catheters used for total parenteral nutrition. Intensive Care Med. 2007;33:534-7.

Guth AA. Routine chest X-rays after insertion of implantable long-term venous catheters: necessary or not? Am Surg. 2001;67:26-9.

Yildizeli B, Laçin T, Batirel HF, Yüksel M. Complications and management of long-term central venous access catheters and ports. J Vasc Access. 2004;5:174-8.

Araújo C, Silva JP, Antunes P, Fernandes JM, Dias C, Pereira H, et al. A comparative study between two central veins for the introduction of totally implantable venous access devices in 1201 cancer patients. Eur J Surg Oncol. 2008;34:222-6.

Narducci F, Jean-Laurent M, Boulanger L, El Bédoui S, Mallet Y, Houpeau JL, et al. Totally implantable venous access port systems and risk factors for complications: a one-year prospective study in a cancer centre. Eur J Surg Oncol. 2011;37:913-8.

Keum DY, Kim JB, Chae MC. Safety of a totally implantable central venous port system with percutaneous subclavian vein access. Korean J Thorac Cardiovasc Surg. 2013;46:202-7.

An H, Ryu CG, Jung EJ, Kang HJ, Paik JH, Yang JH, Hwang DY. Insertion of totally implantable central venous access devices by surgeons. Ann Coloproctol. 2015;31:63-7.

Gurkan S, Seber S, Gur O, Yetisyigit T, Okan Donbaloglu M, Ozkaramanli Gur D. Retrospective evaluation of totally implantable venous access port devices: early and late complications. J BUON. 2015;20:338-45.

Ma LI, Liu Y, Wang J, Chang Y, Yu L, Geng C. Totally implantable venous access port systems and associated complications: A single-institution retrospective analysis of 2,996 breast cancer patients. Mol Clin Oncol. 2016;4:456-60.

Feo CF, Ginesu GC, Bellini A, Cherchi G, Scanu AM, Cossu ML, et al. Cost and morbidity analysis of chest port insertion in adults: Outpatient clinic versus operating room placement. Ann Med Surg (Lond). 2017;21:81-4.

Yanık F, Karamustafaoğlu YA, Karataş A, Yörük Y. Experience in totally implantable venous port catheter: analysis of 3000 patients in 12 years. Turk Gogus Kalp Dama. 2018;26:422-8.

Kim DH, Ryu DY, Jung HJ, Lee SS. Evaluation of complications of totally implantable central venous port system insertion. Exp Ther Med. 2019;17:2013-8.

Teichgräber UK, Kausche S, Nagel SN, Gebauer B. Outcome analysis in 3,160 implantations of radiologically guided placements of totally implantable central venous port systems. Eur Radiol. 2011;21:1224-32.

Yoldaş H, Karagöz İ, Demirkol ME, Velioğlu Y, Yıldız İ. Widespread thrombus during central venous catheterization in ultrasonography: a case. Abant Med J. 2017;6:71-3.

Menteş O, Cırık MÖ, Ünver M, Avcı S, Doğanay G, Alagöz A. Ultrasonographically marked catheterization of internal jugular vein in intensive care patients: Retrospective cohort study. J Surg Med. 2019;3:553-6.

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Published

2019-12-03

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Section

Case Report

How to Cite

1.
Yüksel A, Velioğlu Y, Demirel ME, Uçaroğlu ER. An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein. J Surg Med [Internet]. 2019 Dec. 3 [cited 2022 Jun. 30];3(12):903-5. Available from: https://jsurgmed.com/article/view/594025