Abstract
Purpose
Insertion of totally implantable catheters via deep vessels that drain into the superior vena cava results in a lower incidence of venous thrombosis and infection as compared to catheters inserted into femoral and arm veins. Superior vena cava obstruction and inadequacy of the thoracic wall are conditions that prevent reservoir implantation in the chest wall. In this article, we describe a technical innovation that enables the pocket to be fixed in the arm while still allowing access to be achieved via the internal jugular vein.
Method
The procedure reported maintains the use of the internal jugular vein for access even when the patient's chest is not suited for reservoir implantation, which is localized in the arm.
Results
The procedure was successful and no complications occurred. The position of the catheter tip did not alter with arm movement.
Conclusion
The implantation of a port reservoir in the arm following venous access via the internal jugular vein is both safe and convenient.
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