{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:39:23Z","timestamp":1781840363899,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,8,7]],"date-time":"2017-08-07T00:00:00Z","timestamp":1502064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Extracorporeal photopheresis (ECP) is commonly performed via peripheral venous access catheter. If this is not possible, a tunneled central venous catheter may be considered. However, this access mode may be associated with high complication rates. Port catheters and permanent arteriovenous fistulas in principle could serve as alternative options; however, treatment opinions are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND METHODS<\/jats:title><jats:p>We report on four adult patients with poor peripheral vein conditions in whom we performed ECP via port catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>In three of four patients, problems arising from temporarily impaired blood aspiration or reinfusion were solved by repositioning the patient, intermittent flushing of the port catheter, and, in one patient, by instillation of 2500 units of heparin into the port prior to the first ECP of the 2\u2010day cycle. One female patient sustained extensive central venous thrombosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>A port catheter may, in certain circumstances, constitute a patient\u2010friendly alternative for venous ECP access when patients' peripheral veins are unsuitable. However, a prolonged ECP procedure duration must be taken into account for decision making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.14265","type":"journal-article","created":{"date-parts":[[2017,8,7]],"date-time":"2017-08-07T05:05:58Z","timestamp":1502082358000},"page":"2567-2570","source":"Crossref","is-referenced-by-count":6,"title":["How to perform extracorporeal photopheresis via port catheter"],"prefix":"10.1111","volume":"57","author":[{"given":"Katharina","family":"Schwede","sequence":"first","affiliation":[{"name":"Department of Dermatology Venereology and Allergology, University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Nagel","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Allergology, University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan\u2010Christoph","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Allergology, University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjana","family":"Ziemer","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Allergology, University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12311"},{"key":"e_1_2_8_3_1","unstructured":"SchillerM KlemkeC ArnoldA et al. S1 Leitlinie\u2014extrakorporale Photopherese. Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. (AWMF) Registration Number 013\u201072 (2011)."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.21470_c"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0b013e32832ce943"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.21166"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2007.06524.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2011.08.034"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.20089"},{"key":"e_1_2_8_10_1","unstructured":"StraubAS.Einfluss von verschiedenen Portkatheter\u2010Systemen auf die Flussraten bei der extrakorporalen Photopherese. Doctoral thesis [Internet]. Ulm: University of Ulm; 2015 [cited 2016 Dec 16]. Available from:https:\/\/oparu.uni-ulm.de\/xmlui\/handle\/123456789\/4027."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2013.07.053"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.4065\/81.9.1159"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbmt.2010.12.575"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/0284186X.2013.773072"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1371005"},{"key":"e_1_2_8_16_1","first-page":"108","article-title":"Clinical experience of arteriovenous fistulae for dialysis during an eighteen year period","volume":"77","author":"Sisto T","year":"1988","journal-title":"Ann Chir Gynaecol"},{"key":"e_1_2_8_17_1","unstructured":"Therakos Inc. User manual for Therakos CELLEX photopheresis system revision 6 West Chester: Therakos Inc.;2012."},{"key":"e_1_2_8_18_1","first-page":"985686","article-title":"Flushing and locking of venous catheters: available evidence and evidence deficit","volume":"2015","author":"Goossens GA.","year":"2015","journal-title":"Nurs Res Pract"}],"container-title":["Transfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Ftrf.14265","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.14265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T17:46:09Z","timestamp":1695491169000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/trf.14265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,7]]},"references-count":17,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.1111\/trf.14265"],"URL":"https:\/\/doi.org\/10.1111\/trf.14265","archive":["Portico"],"relation":{},"ISSN":["0041-1132","1537-2995"],"issn-type":[{"value":"0041-1132","type":"print"},{"value":"1537-2995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,7]]}}}