Skip to main content

Advertisement

SpringerLink
Log in

Is catheter rupture rare after totally implantable access port implantation via the right internal jugular vein? Report of a case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Catheter rupture after totally implantable access port (TIAP) implantation via the right internal jugular vein is thought to be very rare. We report a case of catheter rupture found 682 days after TIAP surgery in a 52-year-old woman with recurrent right breast cancer. It is possible that chronic stress at the flexure of the catheter induced by neck movements caused the catheter to rupture. Therefore, when inserting a TIAP via the right internal jugular vein, the site of venous puncture should be decided on carefully. Although a fracture of this type is rarely reported in the literature, the incidence of catheter injury of a TIAP inserted via the internal jugular vein at our institute is 1.8 %. This highlights the need to educate and caution medical staff and patients about preventing catheter fracture being caused by external factors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Kurul S, Saip P, Aydin T. Totally implantable venous-access ports: local problems and extravasation injury. Lancet Oncol. 2002;3:684–92.

    Article  PubMed  Google Scholar 

  2. Sawayama H, Hayashi N, Watanabe M, Takamori H, Beppu T, Baba H. The central vein access port and catheter in outpatient chemotherapy for colorectal cancer: a retrospective study of 101 patients. Surg Today. 2012;42:29–34.

    Article  PubMed  Google Scholar 

  3. Surov A, Wienke A, Carter JM, Stoevesandt D, Behrmann C, Spielmann RP, et al. Intravascular embolization of venous catheter–causes, clinical signs, and management: a systematic review. JPEN J Parenter Enteral Nutr. 2009;33:677–85.

    Article  PubMed  Google Scholar 

  4. Charvat J, Linke Z, Horaekova M, Prausova J. Implantation of central venous ports with catheter insertion via the right internal jugular vein in oncology patients: single center experience. Support Care Cancer. 2006;14:1162–5.

    Article  CAS  PubMed  Google Scholar 

  5. Yip D, Funaki B. Subcutaneous chest ports via the internal jugular vein. A retrospective study of 117 oncology patients. Acta Radiol. 2002;43:371–5.

    Article  CAS  PubMed  Google Scholar 

  6. Osawa H, Hasegawa J, Yamakawa K, Matsunami N, Mikata S, Shimizu J, et al. Ultrasound-guided infraclavicular axillary vein puncture is effective to avoid pinch-off syndrome: a long-term follow-up study. Surg Today. 2012 Aug 28. [Epub ahead of print].

  7. Wu CY, Fu JY, Feng PH, Kao TC, Yu SY, Li HJ, et al. Catheter fracture of intravenous ports and its management. World J Surg. 2011;35:2403–10.

    Article  PubMed  Google Scholar 

  8. Park HS, Kim YI, Lee SH, Kim JI, Seo H, Lee SM, et al. Central venous infusion port inserted via high versus low jugular venous approaches: retrospective comparison of outcome and complications. Eur J Radiol. 2009;72:494–8.

    Article  PubMed  Google Scholar 

  9. Shinoura N, Yamada R, Tabei Y, Saitoh K. The consideration in the catheter rupture of venous port (in Japanese). Rad Fan 2008;6:2.

    Google Scholar 

  10. Shimizu T, Mekata E, Murata S, Yamamoto T, Tani T. A case of catheter fracture of a totally implantable access port introduced through the right internal jugular vein. J Surg Oncol. 2011;103:460–1.

    Article  PubMed  Google Scholar 

  11. Sartori S, Trevisani L, Nielsen I, Tassinari D, Ceccotti P, Abbasciano V. Longevity of silicone and polyurethane catheters in long-term enteral feeding via percutaneous endoscopic gastrostomy. Aliment Pharmacol Ther. 2003;17:853–6.

    Article  CAS  PubMed  Google Scholar 

  12. Vandoni RE, Guerra A, Sanna P, Bogen M, Cavalli F, Gertsch P. Randomised comparison of complications from three different permanent central venous access systems. Swiss Med Wkly. 2009;139:313–6.

    PubMed  Google Scholar 

  13. Ananthakrishnan G, McDonald R, Moss J, Kasthuri R. Central venous access port devices—a pictorial review of common complications from the interventional radiology perspective. J Vasc Access. 2012;13:9–15.

    Article  PubMed  Google Scholar 

  14. Biffi R, Orsi F, Pozzi S, Pace U, Bonomo G, Monfardini L, et al. Best choice of central venous insertion site for the prevention of catheter-related complications in adult patients who need cancer therapy: a randomized trial. Ann Oncol. 2009;20:935–40.

    Article  CAS  PubMed  Google Scholar 

Download references

Conflict of interest

Yoshinobu Nagasawa and his co-authors have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga, 520-2192, Japan

    Yoshinobu Nagasawa, Tomoharu Shimizu, Hiromichi Sonoda, Hirotomi Chou, Eiji Mekata & Tohru Tani

Authors
  1. Yoshinobu Nagasawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tomoharu Shimizu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hiromichi Sonoda
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hirotomi Chou
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eiji Mekata
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Tohru Tani
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tomoharu Shimizu.

Additional information

Y. Nagasawa and T. Shimizu contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nagasawa, Y., Shimizu, T., Sonoda, H. et al. Is catheter rupture rare after totally implantable access port implantation via the right internal jugular vein? Report of a case. Surg Today 44, 1346–1349 (2014). https://doi.org/10.1007/s00595-013-0631-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-013-0631-4

Keywords

Search

Navigation