Port-a-Cath Insertion in Pediatric Patients With Malignancy in Tabuk

Area of Science:

• Pediatric Oncology
• Vascular Access Devices
• Surgical Complications

Background:

• Port-a-cath devices are crucial for managing childhood cancers, enabling frequent blood sampling and intravenous therapies.
• Their use in pediatric oncology necessitates a thorough understanding of insertion techniques and potential complications.

Purpose of the Study:

• To investigate port-a-cath insertion complications in pediatric cancer patients.
• To identify reasons for port removal or reinsertion.
• To compare open versus percutaneous insertion techniques in Saudi Arabia.

Main Methods:

• A retrospective observational study analyzing 79 port-a-cath insertions in 64 pediatric cancer patients (2008-2017).
• Assessment of patient demographics, insertion indications, port usage, removal reasons, and complications.
• Focus on cases from the northwest region of Saudi Arabia.

Main Results:

• The overall complication rate was 9.38%.
• Infections were the most frequent complication, followed by port malfunction and obstruction.
• The right internal jugular vein was the most common insertion site.

Conclusions:

• Port-a-cath insertion is a safe and manageable procedure for pediatric cancer patients.
• Complications are minimal and generally do not lead to serious adverse events.
• Infection and device malfunction are key areas for monitoring and prevention.