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USE OF TOTALLY IMPLANTABLE CENTRAL VENOUS ACCESS IN ADULT PATIENTS’ CHEMOTHERAPY: EXPERIENCE OF A SITE
ESRA Academy. Zhuk V. Sep 8, 2016; 138221; 0038 Topic: SAFETY AND COMPLICATIONS OF REGIONAL ANAESTHESIA (RA)
Dr. Volodimir Zhuk
Dr. Volodimir Zhuk

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Abstract
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Background and Aims:

It is impossible to imagine modern medicine and oncology and anesthesiology in particular, without totally implantable central venous access ports. The following properties are normally associated with the port: it is safe, easy to use, implanted only once during the treatment and have minimal risks related to its insertion and use. 

Methods:

Between January 2008 and December 2014, subcutaneous venous ports were placed in 400 adult patients with cancer. A single type of port was made of polyurethane (7F) or silicone (8F) catheter  (POLYSITE® Standard ™; Laboratories Perouse, France). 94.3% (377) of ports were inserted into the jugular vein, 5.2 % (21) and 0.5% (2) were placed into the subclavian and femoral vein respectively. 

Results:

The rate of minor complication related to the procedure was 0.5% (total: 2 cases; 1 hematoma during local anesthesia, and 1 early hematoma). One patient only (0.25%) had a major complication of pneumothoraxe. No deaths related to the port were observed in this series.

The catheter usage mean duration was between 1 and 36 months. The rate of late complications was (36 cases). The diagnoses in 26 (6.5%) ports: port pocket infections (0.5%), broken or torn catheter (3.5%); catheter-induced venous thrombosis (2.5 %) (p=0.04. 10 (2.5%) cases developed minor complications where port removal was not needed. There were no patients with port-related bacteraemia or sepsis. 

Conclusions:

The use of totally implantable central venous access ports is a safe method of venous access and a more efficient option in oncology of adult patients.

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