Femoral placement of a totally implantable venous access port with spontaneous catheter fracture: case report

Tomohiro Kondo; Shigemi Matsumoto; Keitaro Doi; Motoo Nomura; Manabu Muto

doi:10.1186/s42155-019-0094-9

Femoral placement of a totally implantable venous access port with spontaneous catheter fracture: case report

CVIR Endovasc. 2020 Jan 6;3(1):2. doi: 10.1186/s42155-019-0094-9.

Authors

Tomohiro Kondo¹, Shigemi Matsumoto², Keitaro Doi¹, Motoo Nomura¹, Manabu Muto¹

Affiliations

¹ Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
² Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan. [email protected].

Abstract

Background: The incidence of catheter fracture after standard positioning of a totally implantable venous access port (TIVAP) is reported to be 1.1%-5.0%; however, the incidence of catheter fracture after TIVAP implantation at a femoral site remains unclear.

Case presentation: In a 30-year-old man with angiosarcoma of the right atrium, tumor embolism was observed from the left brachiocephalic vein to the superior vena cava. A TIVAP was implanted in the right femur. A catheter fracture was spontaneously observed after 7 months.

Conclusions: To the best of our knowledge, this is the first case of catheter fracture in a TIVAP implantation at a femoral site.

Keywords: Catheter fracture; Femoral vein; Late complication; Totally implanted venous access port.