title: Totally implantable venous access port via the femoral vein in a femoral port position with CT-venography.
abstract: OBJECTIVE
  We aimed to determine the success rate and any complications using a percutaneous approach to the femoral vein (FV) for placement of a totally implantable access port (TIVAP), with a preoperative assessment of the femoral and iliac veins using computed tomography-venography (CT-V).
  
  
  METHODS
  A prospective study of 72 patients was conducted where placement of a TIVAP was attempted via the right FV, with the port placed in the anterior thigh, when subclavian vein or jugular vein access was contraindicated. Preoperative assessment of the femoral venous plexus was performed with CT-V in 72 patients.
  
  
  RESULTS
  CT-V success was achieved in 72 of 72 patients (100%). The average distance between the inguinal ligament and the saphenofeomral (FV-GSV) junction was 42.8 ± 12.9 mm. The FV approach had a 97% successful cannulation rate. Two patients had a thrombosis in either the femoral vein or the great saphenous vein. One procedural complication (1.4%) and one initial complication (1.4%) occurred. Late complications occurred in four patients (5.7%).
  
  
  CONCLUSIONS
  The percutaneous FV approach with CT-V guidance is an option for patients with multiple central venous cannulations, as well as those with bilateral breast cancer, or those undergoing hemodialysis. J. Surg. Oncol. 2016;114:1024-1028. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Kato
authors.affiliation: Department of Gastroenterology and Hepatology, Okayama University, Okayama City, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Iwasaki
authors.affiliation: Department of Surgery, Sapporo Hokuyu Hospital, Shiroishi-Ku, Sapporo City, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Onodera
authors.affiliation: Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan.
authors.forename: Mineko
authors.initials: M
authors.lastname: Higuchi
authors.affiliation: Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan.
authors.forename: Kimitaka
authors.initials: K
authors.lastname: Kato
authors.affiliation: Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan.
authors.forename: Yurina
authors.initials: Y
authors.lastname: Kato
authors.affiliation: Department of Surgery, Nihon University, Chiyoda-Ku, Tokyo, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Matsuda
authors.affiliation: Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun, Hokkaido, Japan.
authors.forename: Seiya
authors.initials: S
authors.lastname: Endo
authors.affiliation: Department of Radiology, Jikei University, Tokyo, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kobashi
authors.affiliation: Department of Surgery, Asahikawa Medical University, Asahikawa City, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Taniguchi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D062905:Central Venous Catheters; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies
keywords: catheterization; central venous access; computed tomography venography (CT-V); femoral vein (FV); femoral venous plexus; row Multidetector helical 16-section computed tomography (MDCT)