Femoral Venous Access Port in an Adolescent With Complete Superior Vena Cava Obstruction: A Case Report

Totally implantable venous access ports (TIVAPs) provide safe and reliable long-term venous access. Ports are usually implanted into large veins draining into the superior vena cava (SVC). Unfortunately, in patients with SVC occlusion - a fairly common complication in mediastinal tumours - implanting ports into the SVC is not possible. In an adolescent male with relapsed primary mediastinal lymphoma, complicated by complete SVC obstruction, we report the placement of a port into the right femoral vein by interventional radiology. The patient tolerated the insertion well and successfully received chimeric antigen receptor T-cell (CART) therapy. In patients with SVC obstruction, implanting venous ports through the femoral vein is feasible.