Complicated vascular access port removals: incidence, antecedents and avoidance

Abstract

Greatest care and senior supervision should be ensured when removing ports with CVC caliber <6Fr and/or >2 years since insertion. However, complications also occur with larger CVCs or after shorter durations. Therefore, the key to avoiding complicated port removal may simply be: preparation, preparation, neck preparation.

Central venous access device catheter fragmentation at time of removal in four patients with haemophilia A

“…The complication of line fracture, especially in relation to time before line removal, has not been adequately described. In a single‐center study where line fracture was investigated, following examination of the fragmented lines, it was noted that catheters had a roughened surface due to micro‐calcification . The authors suggest that this may be the body's reaction to a foreign body …”

“…2 CVAD removals are generally thought of as a straightforward procedure. 7 Catheter fracture has been a noted complication related to the use of CVADs; however, the duration of line implantation in association with the incidence of catheter fracture has not been sufficiently investigated. 6,8 One single-center study, in paediatric patients, noted that catheter fracture during port removal was most significantly correlated with decreased lumen size and CVAD implantation for >2 years.…”

“…It has been reported that CVADs have remained in place for up to 5‐10 years in some patients . CVAD removals are generally thought of as a straightforward procedure . Catheter fracture has been a noted complication related to the use of CVADs; however, the duration of line implantation in association with the incidence of catheter fracture has not been sufficiently investigated .…”

“…Catheter fracture has been a noted complication related to the use of CVADs; however, the duration of line implantation in association with the incidence of catheter fracture has not been sufficiently investigated . One single‐center study, in paediatric patients, noted that catheter fracture during port removal was most significantly correlated with decreased lumen size and CVAD implantation for >2 years . When fracture occurs, the procedure may become more invasive, including the need for formal neck dissection, intravascular dissection or endovascular retrieval of fragments …”

“…One single‐center study, in paediatric patients, noted that catheter fracture during port removal was most significantly correlated with decreased lumen size and CVAD implantation for >2 years . When fracture occurs, the procedure may become more invasive, including the need for formal neck dissection, intravascular dissection or endovascular retrieval of fragments …”