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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
Published on: January 13, 2026
Complete caval thrombosis secondary to an implanted venous port--a case study
Jens Hasskarl1, Stefan Köberich, Alex Frydrychowicz
1Medizinische Universitätsklinik Freiburg, Hämatologie/Onkologie Abteilung I, Hugstetter Strasse 55, Freiburg, Germany.
Deutsches Arzteblatt International
|July 7, 2009
Summary
A patient developed superior vena cava occlusion after breast cancer treatment due to a port complication. This highlights the need for careful management of implanted port systems in cancer patients.
Area of Science:
- Oncology
- Vascular Surgery
- Medical Device Management
Background:
- Implanted port systems are crucial for long-term venous access in cancer patients.
- Complications associated with these ports, such as superior vena cava (SVC) occlusion, can arise.
- Early recognition and management of port-related complications are essential for patient outcomes.
Purpose of the Study:
- To report a case of upper thoracic inlet syndrome secondary to superior vena cava occlusion.
- To emphasize the importance of recognizing port-related complications in cancer survivors.
- To review standards for handling implanted port systems.
Main Methods:
- Case report of a breast cancer patient presenting with symptoms of thoracic inlet syndrome.
- Diagnostic evaluation including history, physical examination, and imaging.
- Review of local protocols for port system management.
Main Results:
- A 55-year-old woman developed superior vena cava occlusion six months post-breast cancer treatment.
- The occlusion was attributed to the implanted port system.
- Diagnosis was confirmed through clinical presentation and imaging.
Conclusions:
- Implanted ports offer significant benefits for chronic illness management but carry risks.
- Increased use of port systems necessitates optimized handling, care, and risk awareness.
- Prompt identification of complications like catheter occlusion and thrombosis is critical.
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