Effectiveness of breast fixation to reduce migration of the tip of a totally implantable venous access port in women.
OBJECTIVE
To evaluate effectiveness of breast fixation to reduce migration of the catheter tip of a totally implantable venous access port (TIVP) in women.


METHODS
TIVPs were placed in 129 women via the right axillary vein from July 2012 to December 2014, with a final study population of 118 patients (mean age, 55.3 ± 13.8 years; range, 21-91 years). The patients were divided into two groups according to breast fixation during TIVP placement. A total of 56 patients received TIVP placement without breast fixation (Group 1); the remaining 62 received TIVP placement in the supine position after fixation of the ipsilateral breast on the abdominal wall in the sitting position (Group 2). Medical records were retrospectively reviewed for age, weight, height, body mass index, and underlying malignancy. We evaluated the difference in distance ratios between the port chamber and the catheter tip on supine chest and erect chest radiographs, respectively. Statistical analysis was performed using Student's t test.


RESULTS
Differences in all parameters between Group 1 and Group 2 were not statistically significant. Mean distance ratio between the port chamber and the catheter tip was 1.95 ± 0.97 in Group 1 and 1.33 ± 0.59 in Group 2. Differences in distance ratios between the port chamber and the catheter tip were statistically significant between Group 1 and Group 2 (p = 0.001).


CONCLUSIONS
Breast fixation seems to be effective in reducing migration of the port chamber and catheter tip with position changes in female patients during TIVP placement.
Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul - Korea.
Myung Gyu
MG
Song
Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul - Korea.
Tae-Seok
TS
Seo
Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul - Korea.
Yun Hwan
YH
Kim
Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul - Korea.
Sung Bum
SB
Cho
Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul - Korea.
Euichul
E
Jung
Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Seoul - Korea.
Hwan Hoon
HH
Chung
Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Seoul - Korea.
Seung Hwa
SH
Lee
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001367:Axillary Vein / Q000000981:diagnostic imaging; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D002408:Catheters, Indwelling; D062905:Central Venous Catheters; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008875:Middle Aged; D056888:Patient Positioning; D011677:Punctures; D015641:Radiography, Interventional; D012189:Retrospective Studies; D012307:Risk Factors; D016683:Supine Position; D053832:Surgical Tape; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D055815:Young Adult