Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature review

Abstract Totally implantable venous access devices (TIVADs) are commonly used for prolonged intravenous treatment, particularly in oncology. Although removal is typically a straightforward procedure at the end of treatment, it can occasionally be complicated by adhesion of the distal end of the cath...

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Main Authors: Aymar Kassa Boukat, Mohamed Bhairis, Massine El Hammoumi, El Hassane Kabiri
Format: Article
Language:English
Published: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2025-05-01
Series:Jornal Vascular Brasileiro
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492025000100607&lng=en&tlng=en
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author Aymar Kassa Boukat
Mohamed Bhairis
Massine El Hammoumi
El Hassane Kabiri
author_facet Aymar Kassa Boukat
Mohamed Bhairis
Massine El Hammoumi
El Hassane Kabiri
author_sort Aymar Kassa Boukat
collection DOAJ
description Abstract Totally implantable venous access devices (TIVADs) are commonly used for prolonged intravenous treatment, particularly in oncology. Although removal is typically a straightforward procedure at the end of treatment, it can occasionally be complicated by adhesion of the distal end of the catheter to the intravascular wall. This rare complication is often associated with factors such as prolonged catheter dwell time, use of polyurethane material, and younger age at insertion. The technique used for removal depends largely on the degree of adhesion. We report the case of a 60-year-old woman with a TIVAD in place for 12 years for chemotherapy for breast cancer. Removal was challenging due to distal adhesion of the catheter but was ultimately successful following careful dissection and traction.
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issn 1677-7301
language English
publishDate 2025-05-01
publisher Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
record_format Article
series Jornal Vascular Brasileiro
spelling doaj-art-4e4ed01da8b14c648f64280716668f282025-08-20T03:07:32ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-73012025-05-012410.1590/1677-5449.202500042Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature reviewAymar Kassa BoukatMohamed BhairisMassine El HammoumiEl Hassane Kabirihttps://orcid.org/0000-0001-5514-8983Abstract Totally implantable venous access devices (TIVADs) are commonly used for prolonged intravenous treatment, particularly in oncology. Although removal is typically a straightforward procedure at the end of treatment, it can occasionally be complicated by adhesion of the distal end of the catheter to the intravascular wall. This rare complication is often associated with factors such as prolonged catheter dwell time, use of polyurethane material, and younger age at insertion. The technique used for removal depends largely on the degree of adhesion. We report the case of a 60-year-old woman with a TIVAD in place for 12 years for chemotherapy for breast cancer. Removal was challenging due to distal adhesion of the catheter but was ultimately successful following careful dissection and traction.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492025000100607&lng=en&tlng=enimplantable venous access device.
spellingShingle Aymar Kassa Boukat
Mohamed Bhairis
Massine El Hammoumi
El Hassane Kabiri
Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature review
Jornal Vascular Brasileiro
implantable venous access device.
title Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature review
title_full Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature review
title_fullStr Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature review
title_full_unstemmed Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature review
title_short Difficult removal of a totally implantable venous access device 12 years after implantation: a case report and literature review
title_sort difficult removal of a totally implantable venous access device 12 years after implantation a case report and literature review
topic implantable venous access device.
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492025000100607&lng=en&tlng=en
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AT massineelhammoumi difficultremovalofatotallyimplantablevenousaccessdevice12yearsafterimplantationacasereportandliteraturereview
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