{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T15:20:41Z","timestamp":1784128841642,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Femoral ports are used in patients with indication to a totally implanted venous access device but with contraindication to chest-ports and brachial ports because of obstruction of the superior vena cava. In the last three decades, femoral ports have been implanted almost exclusively by cannulation of the common femoral vein at the groin, while the position of the tip has been assessed by X-ray.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We report our experience with a new approach to femoral ports, which includes recent methods and techniques developed in the last few years. These novel femoral ports, which we call \u201cFICC-ports,\u201d are characterized by (a) long femoral 5\u2009Fr polyurethane catheter inserted by ultrasound-guided puncture of the superficial femoral vein at mid-thigh; (b) intraprocedural location of the tip in the sub-diaphragmatic inferior vena cava, using ultrasound visualization by the transhepatic and\/or the subcostal view; (c) low-profile or very low-profile reservoir implanted above the quadriceps muscle, at mid-thigh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the last 3\u2009years, we have implanted 47 FICC-ports in young adults with mediastinal lymphoma compressing the superior vena cava. We had no immediate\/early complication, and only three late complications (one kinking of the catheter in the subcutaneous tissue; one tip migration with secondary venous thrombosis; one persistent withdrawal occlusion due to fibroblastic sleeve).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>If there is indication to a femoral port, the implantation of a \u201cFICC-port\u201d\u2014as described above\u2014is to be strongly considered in terms of safety, effectiveness, and cost-effectiveness: no immediate-early complications, minimal late complications, no X-ray exposure, low invasiveness, low cost.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298241236816","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T06:39:00Z","timestamp":1714977540000},"page":"871-879","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Totally implanted central venous access devices inserted by the femoral route: A narrative review and the proposal of a novel approach, the FICC-port"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7574-1311","authenticated-orcid":false,"given":"Maria Giuseppina","family":"Annetta","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Policlinico Universitario \u201cA.Gemelli,\u201d Rome, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Marche","sequence":"additional","affiliation":[{"name":"Department of Hematology, Policlinico Universitario \u201cA.Gemelli,\u201d Rome, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Ortiz Miluy","sequence":"additional","affiliation":[{"name":"Izasa Medical, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2225-7654","authenticated-orcid":false,"given":"Mauro","family":"Pittiruti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Policlinico Universitario \u201cA.Gemelli,\u201d Rome, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000396"},{"key":"e_1_3_2_3_2","unstructured":"Pittiruti M Scoppettuolo G. Raccomandazioni GAVeCeLT 2021 per la indicazione l\u2019impianto e la gestione dei dispositivi per accesso venoso https:\/\/www.gavecelt.it\/nuovo\/sites\/default\/files\/uploads\/Raccomandazioni%20GAVeCeLT%202021%20-%20v.2.0.pdf (2021 accessed December 2023)"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211067683"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231209521"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0748-7983(96)90723-4"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2004.05.019"},{"issue":"3","key":"e_1_3_2_8_2","first-page":"300","article-title":"Totally implantable access port: approach via femoral vein","volume":"23","author":"Huang WH","year":"2007","unstructured":"Huang WH, Chuang CH, Yu JC, et al. Totally implantable access port: approach via femoral vein. Chirurgische Gastroenterpologie 2007; 23(3): 300\u2013302.","journal-title":"Chirurgische Gastroenterpologie"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.21048"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2012.02.025"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-1984-3"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24441"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1558173"},{"issue":"3","key":"e_1_3_2_14_2","article-title":"Femoral access for central venous port system implantation","volume":"10","author":"Cherkashin M","year":"2018","unstructured":"Cherkashin M, Berezina N, Puchkov D, et al. Femoral access for central venous port system implantation. 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