An Uncommon Case Report of a Punctured SVC through a Chemo Port
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Abstract
Chemo port implantation has enhanced the quality of life for cancer patients. Interventional radiologists or surgeons may implant chemo ports via the Internal Jugular Vein (IJV) or Subclavian Vein (SCV). A central catheter that is implanted into the central venous system is connected to a port chamber (subcutaneous) to form a venous port system. The catheter chamber's subcutaneous position enhances the patient quality of life and has a lower infection rate than non-totally implanted central venous devices. To avoid both immediate and long-term difficulties, a port system must be implanted, used, and cared for properly. Pneumothorax, hemothorax, thoracic duct damage, cardiac tamponade, venous malpositioning of the catheter, and perforation with arterial injury are the most frequent early complications (30 days). Infection, catheter thrombosis, vascular thrombosis and stenosis, catheter fracture with extravasation, or fracture with migration or catheter material embolization, are examples of delayed problems. To detect potential issues and plan therapeutic interventions, such as in the event of catheter migration, radiologic imaging has become more important in both intra-procedural assessment and postoperative follow-up.
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