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Chemoport-A Savior in Children Who Require Chronic Venous Access: An Observational Study

Veerabhadra Radhakrishna1, Chittur Narendra Radhakrishnan2, Ravikiran Cheelenahalli Srinivasa Rao2

  • 1Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Bengaluru, India.

Vascular Specialist International
|October 18, 2019
PubMed

Insights

Chemoports provide safe and reliable long-term venous access for children needing chronic treatment. This study confirms chemoports have a low complication rate, making them ideal for pediatric patients requiring venous access.

Area of Science:

  • Pediatric Surgery
  • Vascular Access Devices
  • Oncology

Background:

  • Pediatric long-term venous access presents challenges due to small vein size and patient cooperation.
  • Chronic venous access is crucial for administering treatments to children with serious illnesses.

Purpose of the Study:

  • To evaluate the indications, efficacy, and safety of chemoport insertion in children requiring chronic venous access.
  • To assess the complication rates and outcomes associated with chemoports in a pediatric population.

Main Methods:

  • Retrospective evaluation of children who underwent chemoport insertion between January 2008 and December 2017.
  • Analysis of indications for insertion, duration of use, and complication events.

Main Results:

  • 169 chemoports were inserted in 159 children; acute lymphoblastic leukemia was the most common indication (51.5%).
  • Mean duration of chemoport use was 832±666 days, with 55.0% removed post-treatment.
  • The overall complication rate was 0.15 per 1,000 chemoport days, with port-related bloodstream infection being the most frequent (0.09 per 1,000 chemoport days).

Conclusions:

  • Chemoports are a safe and reliable option for long-term venous access in children.
  • The low complication rate supports the use of chemoports for managing pediatric patients with chronic venous access needs.
  • Effective management with chemoports can improve outcomes for children with life-threatening conditions.
Abstract

Keywords:
Adverse effectsChildIndwelilng catheterLeukemiaNeoplasmsVascular access devices

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