Totally implantable venous catheters: insertion via internal jugular vein with pocket implantation in the arm is an alternative for diseased thoracic walls

Antonio Eduardo Zerati; Nelson Wolosker; Joaquim Maurício da Motta-Leal-Filho; Pedro Henrique Xavier Nabuco; Pedro Puech-Leão

doi:10.5301/JVA.2011.8486

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Totally implantable venous catheters: insertion via internal jugular vein with pocket implantation in the arm is an alternative for diseased thoracic walls

Journal article

Peer reviewed

Totally implantable venous catheters: insertion via internal jugular vein with pocket implantation in the arm is an alternative for diseased thoracic walls

Antonio Eduardo Zerati, Nelson Wolosker, Joaquim Maurício da Motta-Leal-Filho, Pedro Henrique Xavier Nabuco and Pedro Puech-Leão

The journal of vascular access, Vol.13(1), pp.71-74

01/01/2012

DOI: 10.5301/JVA.2011.8486

PMID: 21748723

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Abstract

Insertion of totally implantable catheters via deep vessels that drain into the superior vena cava results in a lower incidence of venous thrombosis and infection as compared to catheters inserted into femoral and arm veins. Superior vena cava obstruction and inadequacy of the thoracic wall are conditions that prevent reservoir implantation in the chest wall. In this article, we describe a technical innovation that enables the pocket to be fixed in the arm while still allowing access to be achieved via the internal jugular vein. The procedure reported maintains the use of the internal jugular vein for access even when the patient's chest is not suited for reservoir implantation, which is localized in the arm. The procedure was successful and no complications occurred. The position of the catheter tip did not alter with arm movement. The implantation of a port reservoir in the arm following venous access via the internal jugular vein is both safe and convenient.

Adipose Tissue - pathology

Antineoplastic Agents - administration & dosage

Arm - surgery

Breast Neoplasms - drug therapy

Breast Neoplasms - pathology

Catheterization, Central Venous - instrumentation

Catheterization, Central Venous - methods

Catheters, Indwelling

Equipment Design

Female

Humans

Jugular Veins - diagnostic imaging

Middle Aged

Radiography

Thoracic Wall - pathology

Time Factors

Details

Title: Subtitle: Totally implantable venous catheters: insertion via internal jugular vein with pocket implantation in the arm is an alternative for diseased thoracic walls
Creators: Antonio Eduardo Zerati - Universidade de São Paulo
Nelson Wolosker - Universidade de São Paulo
Joaquim Maurício da Motta-Leal-Filho - Universidade de São Paulo
Pedro Henrique Xavier Nabuco - Universidade de São Paulo
Pedro Puech-Leão - Universidade de São Paulo
Resource Type: Journal article
Publication Details: The journal of vascular access, Vol.13(1), pp.71-74
DOI: 10.5301/JVA.2011.8486
PMID: 21748723
NLM abbreviation: J Vasc Access
ISSN: 1129-7298
eISSN: 1724-6032
Language: English
Date published: 01/01/2012
Academic Unit: Radiology
Record Identifier: 9985180934802771

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