Long-term femoral vein central venous access in cancer patients

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
S BertoglioP Percivale

Abstract

Subclavian percutaneous access with reservoir placement has been shown to be difficult or contraindicated in some patients. Of 465 cancer patients who required a port placement between January 1992 to January 1995, 41 (8.8%) had alternative percutaneous femoral access with a totally implantable port reservoir located in the abdomen because of the inaccessibility to subclavian or jugular veins and/or the presence of massive cutaneous metastases or severe radiodermitis in the upper part of the torso. Overall implant days was 9880, with an average of 241 days (range: 65-445). Ports were alternatively used for chemotherapy and nutritional purposes in 11 of 41 patients. Late morbidity causing the removal of the implanted ports was observed in two of 41 (4.9%) and 25 of 424 (5.9%) patients in the femoral and subclavian series, respectively (P = 0.86). The femoral percutaneous access for totally implantable port devices appears to be a safe alternative for cancer patients when subclavian and/or jugular vein catheterization and reservoir in the upper part of the torso is contraindicated.

References

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Citations

May 7, 2008·European Radiology·Pierre-Yves Marcy
Mar 1, 2011·Indian Journal of Surgical Oncology·K Harish, Y C Madhu
Jun 5, 2013·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·K Harish, Y C Madhu
Aug 9, 2012·Journal of Palliative Medicine·Naoki MatsuoYuichi Fujii
Sep 26, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jan P GoltzRalph Kickuth
Mar 20, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Antonio Eduardo ZeratiNelson de Luccia
Aug 7, 2004·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·N WoloskerK Nishinari
Jun 1, 1997·Pediatric Clinics of North America·P Chait
May 9, 2015·The Journal of Vascular Access·Pierre GibaultJean-Louis Bourgain

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