Abstract:
Totally implantable venous access ports (TIVAPs) are widely used for chemotherapy and other purposes in patients with cancer. Their convenience and safety make them ideal for long-term use. However, sometimes there are cases in which TIVAPs remain in the vessel following the completion of long-term chemotherapy and are difficult to remove due to the adhesion of the catheter to the vessel wall. In this study, we encountered a case in which a TIVAP catheter adhering to a blood vessel was fractured during removal and the catheter left in the vessel could not be retrieved by a snare because it had no free end. Finally, the catheter was successfully removed using a peel-away sheath. No complications or residual catheters were associated with the removal procedure.
Reference:Sosogi S, Kato H, Hasegawa T. A case of percutaneous retrieval of a catheter without a free end that was fractured during a totally implantable venous access port removal. Radiol Case Rep. 2023 Jun 16;18(9):2911-2917. doi: 10.1016/j.radcr.2023.05.046. PMID: 37383179; PMCID: PMC10293593.