How to shorten implantable port catheters that are too long?

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Percutaneous revision is an effective method for shortening too-long port catheters, allowing uninterrupted use of the port” Duncan and Trerotola (2016).

Abstract:

Central venous port catheters that are too long are typically removed or revised. The subcutaneous position of port reservoirs precludes standard over-the-wire exchange techniques, and a method of percutaneous revision using an intravascular loop snare technique has been previously described. A retrospective review was conducted of 38 procedures that were performed at a single academic institution between 2005 and 2015. Technical success was 100%, without immediate or delayed complications with follow-up until port removal or death in 94% of patients. Percutaneous revision is an effective method for shortening too-long port catheters, allowing uninterrupted use of the port.

Reference:

Duncan, C. and Trerotola, S.O. (2016) Outcomes of a Percutaneous Technique for Shortening of Totally Implanted Indwelling Central Venous Chest Port Catheters. Journal of vascular and interventional radiology. 27(7), p.1034-7.

doi: 10.1016/j.jvir.2016.02.025.

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