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T he mystery of the occluded port that allowed blood withdrawal: Is it safe to use standard needles to access ports? A case report and literature review
Author(s) -
Cataldo Rita,
Costa Fabio,
Vitiello Michelangelo,
Brescia Fabrizio,
Proscia Paola,
Falco Clementina,
Carassiti Massimiliano
Publication year - 2014
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23508
Subject(s) - medicine , complication , surgery , venous access , occlusion , anesthesia , port (circuit theory) , catheter , electrical engineering , engineering
A frequent complication of totally implantable central venous access devices (TIVADs) is withdrawal occlusion. We describe a case of rare dysfunction of TIVADs: blood withdrawal was possible, whereas infusion was not. A further investigation demonstrated that during infusion, a silicone core, probably produced by hypodermic needle puncture, occluded the reservoir outlet hole. The silicone septum puncture by standard needles instead of non‐coring ones may reduce the device effectiveness and expose patients to serious complications. J. Surg. Oncol. 2014 109:500–503 . © 2013 Wiley Periodicals, Inc.