Direct translumbar inferior vena cava ports for long-term central venous access in patients with cancer

Selim R. Butros, T. Gregory Walker, Gloria M. Salazar, Sanjeeva P. Kalva, Rahmi Oklu, Stephan Wicky, Suvranu Ganguli

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Purpose To evaluate the indications, complications, and long-term results of translumbar port placements to the inferior vena cava for long-term central venous access in a single tertiary center. Materials and Methods This retrospective study included all patients with cancer who underwent translumbar port placement from January 2000 to July 2012; 31 patients (all women) with an average age of 53.1 years ± 11.1 (range, 30-77 y) were included in the study. Of these patients, 26 (81%) had breast cancer, 3 had lung cancer, 1 had ovarian cancer, and 1 had rectal cancer. Indications included central venous occlusion in 9 patients (29%) and bilateral mastectomy and lymph node dissection in 22 patients (71%). Results All procedures were technically successful. The overall 30-day complication rate was 9.7% (n = 3). Average catheter use was 14.1 months ± 21 (range, 0.75-108 mo). Thirteen (41.9%) ports were removed because they were no longer needed; 4 (12.9%) ports required removal for port malfunction; 12 (38.7%) patients died with their ports still in place; 2 (6.5%) ports remain in use. Three (9.7%) ports required delayed secondary intervention to remain functional. One patient had a systemic infection attributed to the port, resulting in an overall infection rate of 0.08 per 1,000 catheter days. Conclusions Translumbar inferior vena cava port placement is a technically feasible and safe alternative method for long-term central venous access.

Original languageEnglish (US)
Pages (from-to)556-560
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume25
Issue number4
DOIs
StatePublished - Apr 2014

Keywords

  • Abbreviation
  • IVC
  • inferior vena cava

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Direct translumbar inferior vena cava ports for long-term central venous access in patients with cancer'. Together they form a unique fingerprint.

  • Cite this