title: Endovascular technique for revision of excess catheter length in subcutaneous implanted venous access devices.
abstract: To describe the implementation of a technique to trim the excess length of a central venous catheter via a process of endovascular snaring without exposing or changing the device. We report on the outcome of this technique in 3 patients. The technique was successful in two cases and successful with a modification in the remaining case. The technique is useful to salvage an implanted venous access device. It appears to be less invasive with reduced procedure time and less patient discomfort than other techniques.
authors.affiliation: University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA.
authors.forename: Ravi
authors.initials: R
authors.lastname: Murthy
authors.forename: Massoud
authors.initials: M
authors.lastname: Arbabzadeh
authors.forename: Howard
authors.initials: H
authors.lastname: Richard
authors.forename: Abraham
authors.initials: A
authors.lastname: Levitin
authors.forename: Gunnar
authors.initials: G
authors.lastname: Lund
authors.forename: Brian
authors.initials: B
authors.lastname: Stainken
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D003251:Constriction, Pathologic / Q000517:prevention & control; D003449:Cryoglobulinemia / Q000175:diagnosis / Q000188:drug therapy; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000188:drug therapy; D016393:Lymphoma, B-Cell / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012494:Sampling Studies; D016896:Treatment Outcome; D014654:Vascular Patency