Abstract:
Background: Implanted intravenous infusion port (TIAP) is mainly used for patients who need central venous infusion and poor peripheral vascular conditions. With the advantages of easy to carry, long maintenance cycle, few complications and excellent quality of life, it has been widely used in the fields of malignant tumor chemotherapy, parenteral nutrition support and repeated blood collection. Implanted intravenous infusion port (IVAP) dislocation can have significant complications if not recognised and reinstated immediately.
Case summary: A 24-year-old man was treated with adjuvant chemotherapy for osteosarcoma. Severe displacement of IVAP catheter was found by chest X-ray examination. The IVAP cannot be used normally. Therefore, we conducted an emergency procedure to reset the catheter through double pigtail catheters, the operation was successful and the infusion port was restored.
Conclusion: When IVAP catheter displacement cannot be reset by conventional techniques, two pigtail catheters can be successfully used instead.
Reference:Liu Y, Du DM. Double pigtail catheter reduction for seriously displaced intravenous infusion port catheter: A case report. World J Clin Cases. 2023 Feb 6;11(4):883-887. doi: 10.12998/wjcc.v11.i4.883. PMID: 36818611; PMCID: PMC9928690.