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Totally implantable venous access port via the femoral vein in a femoral port position with CT-venography

Corresponding Author

Kazuya Kato MD

[email protected]

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

Correspondence to: Kazuya Kato, M.D., Ph.D., Department of Surgery, Pippu Clinic, 2–10, 1 Chome Nakamachi, Pippu Town Kamikawa-Gun, Hokkaido 078–0343, Japan. Fax: +81-166-58-9008. E-mail: [email protected]

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Yoshiaki Iwasaki MD,

Yoshiaki Iwasaki MD

Department of Gastroenterology and Hepatology, Okayama University, Okayama City, Japan

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Kazuhiko Onodera MD,

Kazuhiko Onodera MD

Department of Surgery, Sapporo Hokuyu Hospital, Shiroishi-Ku, Sapporo City, Japan

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Mineko Higuchi RN,

Mineko Higuchi RN

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Kimitaka Kato MA,

Kimitaka Kato MA

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Yurina Kato DDS,

Yurina Kato DDS

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Minoru Matsuda MD,

Minoru Matsuda MD

Department of Surgery, Nihon University, Chiyoda-Ku, Tokyo, Japan

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Seiya Endo RT,

Seiya Endo RT

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Yuko Kobashi MD,

Yuko Kobashi MD

Department of Radiology, Jikei University, Tokyo, Japan

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Masahiko Taniguchi MD,

Masahiko Taniguchi MD

Department of Surgery, Asahikawa Medical University, Asahikawa City, Japan

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Kazuya Kato MD,

Corresponding Author

Kazuya Kato MD

[email protected]

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Yoshiaki Iwasaki MD,

Yoshiaki Iwasaki MD

Department of Gastroenterology and Hepatology, Okayama University, Okayama City, Japan

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Kazuhiko Onodera MD,

Kazuhiko Onodera MD

Department of Surgery, Sapporo Hokuyu Hospital, Shiroishi-Ku, Sapporo City, Japan

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Mineko Higuchi RN,

Mineko Higuchi RN

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Kimitaka Kato MA,

Kimitaka Kato MA

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Yurina Kato DDS,

Yurina Kato DDS

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Minoru Matsuda MD,

Minoru Matsuda MD

Department of Surgery, Nihon University, Chiyoda-Ku, Tokyo, Japan

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Seiya Endo RT,

Seiya Endo RT

Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan

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Yuko Kobashi MD,

Yuko Kobashi MD

Department of Radiology, Jikei University, Tokyo, Japan

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Masahiko Taniguchi MD,

Masahiko Taniguchi MD

Department of Surgery, Asahikawa Medical University, Asahikawa City, Japan

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First published: 22 September 2016

https://doi.org/10.1002/jso.24441

Citations: 8

Conflicts of interest: None.

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Abstract

Background and Purpose

We aimed to determine the success rate and any complications using a percutaneous approach to the femoral vein (FV) for placement of a totally implantable access port (TIVAP), with a preoperative assessment of the femoral and iliac veins using computed tomography-venography (CT-V).

Methods

A prospective study of 72 patients was conducted where placement of a TIVAP was attempted via the right FV, with the port placed in the anterior thigh, when subclavian vein or jugular vein access was contraindicated. Preoperative assessment of the femoral venous plexus was performed with CT-V in 72 patients.

Results

CT-V success was achieved in 72 of 72 patients (100%). The average distance between the inguinal ligament and the saphenofeomral (FV-GSV) junction was 42.8 ± 12.9 mm. The FV approach had a 97% successful cannulation rate. Two patients had a thrombosis in either the femoral vein or the great saphenous vein. One procedural complication (1.4%) and one initial complication (1.4%) occurred. Late complications occurred in four patients (5.7%).

Conclusions

The percutaneous FV approach with CT-V guidance is an option for patients with multiple central venous cannulations, as well as those with bilateral breast cancer, or those undergoing hemodialysis. J. Surg. Oncol. 2016;114:1024–1028. © 2016 Wiley Periodicals, Inc.

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Volume114, Issue8

December 15, 2016

Pages 1024-1028

Totally implantable venous access port via the femoral vein in a femoral port position with CT-venography

Abstract

Background and Purpose

Methods

Results

Conclusions

REFERENCES

Citing Literature

References

Information

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Totally implantable venous access port via the femoral vein in a femoral port position with CT-venography

Abstract

Background and Purpose

Methods

Results

Conclusions

REFERENCES

Citing Literature

References

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