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January 27, 2022The Journal of Vascular AccessOpen Access

Difficult removal of totally implantable venous access devices in adult patients: Incidence, risk factors, and management

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To assess the incidence and clinical risk factors associated with difficult removal of totally implantable venous access devices (TIVADs) and evaluate interventional radiology salvage strategies.
Retrospectively analyzed 514 adult TIVAD removal procedures conducted at a single center between January 2014 and May 2021.
Performed univariable and multivariable logistic regression analyses to evaluate potential risk factors for difficult device extraction and reviewed interventional radiology (IR) techniques applied in refractory cases.
Difficult removal occurred in 7.4% of procedures (38/514).
Multivariable analysis identified indwelling duration per year (OR, 1.46; 95% CI, 1.28–1.67; p < 0.01) and subcutaneous leakage of fluid (OR, 6.04; 95% CI, 2.45–14.91; p < 0.01) as independent risk factors for difficult removal.
Successful device extraction was achieved using advanced manual dissection and traction in 32 cases, whereas 6 cases required minimally invasive IR techniques such as guide wires, introducer sheath dissection, dilators, or endovascular snares.

Authors

SCShohei ChataniShiga University of Medical Science RTRyota TsukiiAichi Cancer Center KNKyohei NagasawaFujita Health University

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Implication

Retrospective cohort study reveals risk factors for difficult venous access port removal in adult oncology patients, highlighting interventional radiology techniques.

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Chatani et al. (2022) studied this question.

synapsesocial.com/papers/6a93abdf84ddc81fac7205ed https://doi.org/10.1177/11297298211069256

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Implication

Retrospective cohort study reveals risk factors for difficult venous access port removal in adult oncology patients, highlighting interventional radiology techniques.

Difficult removal of totally implantable venous access devices in adult patients: Incidence, risk factors, and management

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Implication

Cite This Study

Difficult removal of totally implantable venous access devices in adult patients: Incidence, risk factors, and management

Key Points

Discussion

Implication

Cite This Study

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