Difficult implantable port removal
Abstract:
We encountered a patient with an infection related to an implanted central venous port-catheter that necessitated removal of the system. As the catheter had tightly adhered to the venous wall, removal was impossible with standard methods. After trial and error, we used a guiding catheter that was advanced over the implanted catheter to detach the fibrin sheath on the implanted catheter that had adhered to the vessel wall. At that time, a pull-through technique was used. After we succeeded in detaching the adhesion with the guiding catheter, we were able to withdraw the implanted catheter.
Reference:
Togami K, Yoshimatsu R, Yamanishi T, Maeda H, Izumi T, Miyatake K, Matsumoto T, Yamagami T. Removal of central venous port-catheter by the combination of interventional radiological procedures. Minim Invasive Ther Allied Technol. 2022 Dec 21:1-4. doi: 10.1080/13645706.2022.2154612. Epub ahead of print. PMID: 36542515.