Abstract
The paper analyze the method used by us in insertion of implantable ports for chemotherapy (port-a-cat/PAC) and to evaluate intra and postoperative complications. The authors conducted a prospective study in which we included patients operated at the Fifth Surgical Clinic of the Municipal Hospital Cluj-Napoca. Implantable chambers was installed in all cases, by ecoguided puncturing the internal jugular vein. Of the 250 patients included in the study, 97 patients (38.8%) had breast cancer, 26 (10.4%) lung cancer, 25 (10%) colorectal cancer, 22 patients (8.8%) neoplasms in ENT. Patients were aged between 19 and 74 years. 58% of patients were stage IV. The main intraoperative complications were incorrect puncturing / introduction of the catheter. Among postoperative complications were internal jugular vein thrombosis (1.2%), abscesses at the site of implantation (1.6%), extravasation of the port (2%). The method of insertion of implantable chamber through internal jugular vein, used by us, has very good results, the number of intra and postoperative complications is minimal, also avoiding catheter breakage, hemothorax and pneumothorax.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ku YH, Kuo PH, Tsai YF, Huang WT, Lin MH, Tsao CJ. (2009) Port-A-Cath implantation using percutaneous puncture without guidance. Ann Surg Oncol. vol 16, no. 3, pp. 729-734.
Vandoni RE, Guerra A, Sanna P, Bogen M, Cavalli F, Gertsch P. (2009) Randomised comparison of complications from three different permanent central venous access systems. Swiss Med., pp. 313-316.
Biffi R, de Braud F, Orsi F, Pozzi S, Mauri S, Goldhirsch A, Nolè F, Andreoni B. (1998) Totally implantable central venous access ports for long- term chemotherapy. Ann Oncol., vol.9, no.7, pp. 767-773.
Marcy PY, Figl A (2010) Arm port implantation in cancer patients. Int J. of Clinical Oncology. vol.15, no.3, pp. 328-330
Czepizak CA, O’Callaghan JM, Venus B. (1995) Evaluation of formulas for optimal positioning of central venous catheters. Chest, vol. 107, no. 6, pp. 1662-1664.
Petersen J, Delaney JH, Brakstad MT, Rowbotham RK, Bagley CM Jr. (1999) Silicone venous access devices positioned with their tips high in the superior vena cava are more likely to malfunction. Am J Surg., vol.178, no. 1, pp. 38-41.
Walser (2012) Veous access ports: indications, technique, Cardiovasc Intervent Radiol., vol. 35, no. 4, pp. 751-764.
LaBella G, (2005) Port-A-Cath placement without the aid of fluoroscopy or localizing devices: a community hospital series. Cancer J., vol. 11, no.2, pp. 157-159.
Shen-Gunther J, (2003) Outpatient implantation of a central venous access system in gynecologic oncology patients. J Reprod, vol 48, no.11, pp.875-881.
Rykov MY, (2016) Implantable venous ports in pediatric oncology. J Vasc Access., vol.12, no.4, pp 345-347.
Wyles SM, Browne G, Gui GP. (2007) Pitfalls in Portacath location using the landmark technique: case report. Int Semin Surg Oncol.4:13
Aparna S, et all. (2015) Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India. South Asian J Cancer, vol. 4, pp.143-145
Binnebösel M, et all.(2009) Internal jugular vein thrombosis presenting as a painful neck mass due to a spontaneous dislocated subclavian port catheter as long-term complication. Cases J. 2:7991.
Gonda SJ, Li R. (2011) Principles of subcutaneous port placement. Tech Vasc Interv Radiol., vol. 14, no. 4, pp.:198-203
Ko SY, et all (2016) Spontaneous fracture and migration of catheter of a totally implantable venous access port via internal jugular vein--a case report. J Cardiothorac Surg., pp. 11-50.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this paper
Cite this paper
Micu, B., Micu, C., Pop, TR., Constantea, N. (2017). Implantable Ports in Oncology. In: Vlad, S., Roman, N. (eds) International Conference on Advancements of Medicine and Health Care through Technology; 12th - 15th October 2016, Cluj-Napoca, Romania. IFMBE Proceedings, vol 59. Springer, Cham. https://doi.org/10.1007/978-3-319-52875-5_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-52875-5_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-52874-8
Online ISBN: 978-3-319-52875-5
eBook Packages: EngineeringEngineering (R0)