Percutaneous Chemotherapy Port-A-Cath Shortening Technique

Introduction

Central venous chest ports are typically implanted as long-term points of vascular access for cancer patients for the administration of chemotherapy.[1] Correct positioning of the tip is important to ensure appropriate function and to avoid complications such as venous perforation, thrombosis, arrhythmias, retrograde injection, and overall dysfunction of the port. Malposition of the catheter tip may occur due to improper initial placement or changes such as weight loss, as seen with the progression of many types of cancer. This report provides additional support for the percutaneous shortening of port-a-cath and expands on technique and outcomes.[2] [3]

Publication History

Article published online:
23 June 2024

• References

• 1 Kim HJ, Yun J, Kim HJ. et al. Safety and effectiveness of central venous catheterization in patients with cancer: prospective observational study. J Korean Med Sci 2010; 25 (12) 1748-1753
• 2 Duncan C, Trerotola SO. Outcomes of a percutaneous technique for shortening of totally implanted indwelling central venous chest port catheters. J Vasc Interv Radiol 2016; 27 (07) 1034-1037
• 3 Murthy R, Arbabzadeh M, Richard III H, Levitin A, Lund G, Stainken B. Endovascular technique for revision of excess catheter length in subcutaneous implanted venous access devices. Cardiovasc Intervent Radiol 2004; 27 (03) 259-261
• 4 Erdemir A, Rasa HK. Impact of central venous port implantation method and access choice on outcomes. World J Clin Cases 2023; 11 (01) 116-126