E-ISSN 2534-9821
 

Case Report 


Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown

Putu Anda Tusta Adiputra.

Abstract
Introduction: totally implantable venous access ports (TIVAPs) offered advantage of preventing venous toxicity when administering chemotherapy drugs and low risk of toxicity. Modified techniques were introduced to improve the outcome and safety of the port implantation. In this modified technique, the prioritization were the safety and stability of catheter and port placement. Case Presentation: a female, 57 years old with stage 4 breast cancer will undergo chemotherapy. She needs to do TIVAPs because her vessel was fragile and small. The author used cephalic vein cutdown to do TIVAPs. The catheter was inserted to the cephalic vein in the deltopectoral groove, in which connected to the port pocket implanted in the anteromedial thorax. This modified technique had more stable location of port, more fixed area if compared with deltopectoral groove, and easily access for non-coring needle insertion. By connecting both sides, the position of catheter would be horizontal and easily palpable, which minimalizing the risk of catheter being twisted and kinked. Conclusion: this modification technique was safe and useful. The long-term outcome was satisfactorily good by this technique without any major and minor events.

Key words: TIVAPs, cephalic vein, anteromedial thorax


 
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Pubmed Style

Adiputra PAT, . Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown. Int J Med Rev Case Rep. 2020; 4(6): 5-8. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access


Web Style

Adiputra PAT, . Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown. http://www.mdpub.net/?mno=113277 [Access: August 09, 2020]. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access


AMA (American Medical Association) Style

Adiputra PAT, . Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown. Int J Med Rev Case Rep. 2020; 4(6): 5-8. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access



Vancouver/ICMJE Style

Adiputra PAT, . Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown. Int J Med Rev Case Rep. (2020), [cited August 09, 2020]; 4(6): 5-8. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access



Harvard Style

Adiputra, P. A. T. & (2020) Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown. Int J Med Rev Case Rep, 4 (6), 5-8. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access



Turabian Style

Adiputra, Putu Anda Tusta, and . 2020. Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown. International Journal of Medical Reviews and Case Reports, 4 (6), 5-8. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access



Chicago Style

Adiputra, Putu Anda Tusta, and . "Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown." International Journal of Medical Reviews and Case Reports 4 (2020), 5-8. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access



MLA (The Modern Language Association) Style

Adiputra, Putu Anda Tusta, and . "Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown." International Journal of Medical Reviews and Case Reports 4.6 (2020), 5-8. Print. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access



APA (American Psychological Association) Style

Adiputra, P. A. T. & (2020) Modified Totally Implantable Venous Access Ports through Cephalic Vein Cutdown. International Journal of Medical Reviews and Case Reports, 4 (6), 5-8. doi:10.5455/IJMRCR.Modified-Totally-Implantable-Venous-Access