The trapezius port: a novel approach for port access

Placement of long-term central venous access in breast cancer patients who have undergone bilateral mastectomy presents a unique challenge. The standard anterior chest wall placement of the port may be compromised by factors such as a fresh surgical site, the possibility of postoperative radiation t...

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Bibliographic Details
Published in:The American surgeon 2005-02, Vol.71 (2), p.106-109
Main Authors: Copper, C M, Pacanowski, J P, Bell, J L
Format: Article
Language:English
Subjects:
Adult
Antineoplastic Agents - therapeutic use
Breast cancer
Breast Neoplasms - radiotherapy
Carcinoma in Situ - radiotherapy
Carcinoma, Ductal, Breast - radiotherapy
Catheterization, Central Venous - instrumentation
Catheters
Catheters, Indwelling
Female
Humans
Mastectomy
Medical procedures
Medical treatment
Muscle, Skeletal - surgery
Neoadjuvant Therapy
Shoulder
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Summary:Placement of long-term central venous access in breast cancer patients who have undergone bilateral mastectomy presents a unique challenge. The standard anterior chest wall placement of the port may be compromised by factors such as a fresh surgical site, the possibility of postoperative radiation therapy, or the immediate reconstruction field. To avoid the potential for complications that impact the surgical field or subsequent therapy, we have developed a unique new technique for central venous port placement: the trapezius port. By placing the port in a subcutaneous pocket over the trapezius muscle, the risk of infection or cross-contamination of the surgical site is avoided.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480507100203