Prolonged exposure of implantable central venous access device salvaged by a simple local flap: A case report

Abstract

Background

An implantable central venous device is often used in patients when prolonged intravenous systemic therapy is anticipated for oncologic treatment. Exposure of a percutaneous implantable venous access device is a known complication that usually requires its removal.

Methods

We report a patient with a venous device implanted in the left arm, which was complicated by device exposure for 4 months. Clinically, there was no evidence of infection. The issue was addressed with a simple local flap for coverage.

Results

A local random fasciocutaneous flap was elevated under local anaesthesia and transferred to cover the exposed device as a day surgery. The wound healed uneventfully, with no recurrence of device exposure at the 3-month follow-up.

Conclusion

The reported case supports flap coverage as an effective method for addressing exposed implantable venous devices, even with prolonged exposure, provided there is no infection.