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Femoral-to-Port Through-and-Through Wire Access to Reestablish Subcutaneous Port Function

¹ All authors: Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215.

View larger version (163K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —62-year-old woman with left subclavian port. Anteroposterior fluoroscopic image of chest shows 0.018-inch wire (arrows) traversing through left chest subcutaneous port (arrowheads), through catheter, and into superior vena cava.

View larger version (142K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —62-year-old woman with left subclavian port. Coned-down anteroposterior fluoroscopic image of chest shows 0.018-inch wire was snared and then withdrawn through femoral vein to achieve through-and-through access, allowing catheter tip repositioning and successful mechanical stripping.

View larger version (60K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2 —61-year-old woman with right subcutaneous port. Axial CT image shows fibrin sheath (long arrow) as low-density filling defect within inferior vena cava and surrounding catheter tip (short arrow).

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