Abstract
The technique of venous access port placement requires dissection of the pocket just above the level of the pectoralis fascia and then placement of nonabsorbable sutures through the holes in the reservoir base to secure it. A low rate of port inversion is reported when the port base is fixed to subcutaneous pocket.
However, series reporting both port fixation or no fixation show similar rates of reversal. Once identified, port reversal can be easily corrected by gentle rotation of the port. Rarely, reanchoring of the port is required.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Raaf JH, Heil D, Rollins DL (1994) Vascular access pumps and infusions. In: McKenna RJ, Murphy GP (eds) Cancer surgery. Lippincott Williams & Wilkins, Philadelphia, pp 51–53
Gebarski SS, Gebarski KS (1984) Chemotherapy port “Twiddler’s syndrome”. A need for preinjection radiography. Cancer 54:38–39
de Costa BR, Dickey K, Greenwood L (2000) A practical approach for repositioning flipped venous access ports. J Vasc Interv Radiol 11:213–214
Kock HJ, Pietsch M, Krause U et al (1998) Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg 22:12–16
Shetty P, Mody M, Kastan D et al (1997) Outcome of 350 implanted chest ports placed by interventional radiologists. J Vasc Interv Radiol 8:991
Sànchez LY, Galbis Caravajal JM, Fuster Diana CA et al (2006) Protocol for the implantation of a venous access device (Port-A-Cath system). The complications and solutions found in 560 cases. Clin Translation Oncol 8:735–741
Forauer AR, Chen Y, Parks R (2005) A case of posttraumatic Twiddler’s syndrome. J Vasc Interv Radiol 16:562–563
Charvát J, Linke Z, Horáèková M, Prausová J (2006) Implantation of central venous ports with catheter insertion via the right internal jugular vein in oncology patients-single center experience. Support Care Cancer 14:1162–1165
Harvey WH, Pick TE, Reed K et al (1989) A prospective evaluation of the Port-A-Cath implantable venous access system in chronically ill adults and children. Surg Gynecol Obstet 169:495–500
Cil BE, Canyiğit M, Peynircioğlu B et al (2006) Subcutaneous venous port implantation in adult patients: a single center experience. Diagn Interv Radiol 12:93–98
Lorch H, Zwaan M, Kagel C et al (2001) Central venous access ports placed by interventional radiologists: experience with 125 consecutive patients. Cardiovasc Intervent Radiol 24:180–184
McNulty NJ, Perrich KD, Silas AM et al (2010) Cardiovasc Intervent Radiol 33:751–755
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Italia
About this chapter
Cite this chapter
Ratti, F., Catena, M., Paganelli, M., Aldrighetti, L. (2012). Reversal. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_21
Download citation
DOI: https://doi.org/10.1007/978-88-470-2373-4_21
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2372-7
Online ISBN: 978-88-470-2373-4
eBook Packages: MedicineMedicine (R0)