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Published on: September 20, 2020
Results of Port-A-Cath Implantation: A Cross-Sectional Study about a Single Tertiary Cancer Center Experience
Fariba Jahangiri1, Mahmoud Salek1, Seyed Javad Nassiri1
1Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Insights
Complications from central venous catheterization in pediatric cancer patients are manageable. Adhering to antiseptic protocols during port-a-cath implantation significantly reduces risks, improving treatment outcomes.
Area of Science:
- Pediatric Oncology
- Medical Devices
- Surgical Complications
Background:
- Central venous catheterization is crucial for pediatric cancer chemotherapy.
- Identifying and managing complications associated with port-a-cath implantation is essential for improving patient outcomes.
- This study focuses on the complication rates of port-a-cath implantation in children.
Purpose of the Study:
- To determine the complication rate associated with port-a-cath implantation in pediatric patients undergoing chemotherapy.
- To analyze factors influencing complications and their management strategies.
Main Methods:
- An observational study was conducted reviewing medical records of pediatric patients who underwent port-a-cath implantation between 2011 and 2015.
- Data collected included underlying disease, demographics, complications, and management.
- Multivariate logistic regression was used for data analysis.
Main Results:
- Out of 100 pediatric patients, 32 chemoports were removed due to complications or treatment completion.
- The mean duration of catheter use was 693 days.
- The most frequent complications included port dysfunction, infection, skin necrosis, and extravasation.
Conclusions:
- Port-a-cath utilization is essential for pediatric cancer patients requiring adjuvant treatment.
- Established protocols can effectively manage potential complications.
- Strict adherence to antiseptic principles by trained professionals is key to preventing most complications.
Abstract:
Background: Identifying possible complications accompanying central venous catheterization may improve the results. The current study was conducted to clarify the complication rate among port-a-cath implantation in children referred to Ali-Asghar hospital from 2011 to 2015. This study was designed to determine complication rates among the pediatric population who underwent port-a-cath implantation for chemotherapy. Methods: The current observational study reviewed the medical documents of children who were referred to Ali-Asghar hospital from 2011 to 2015. Factors such as underlying disease, demographic characteristics, complications and their management were considered. We analyzed the results of this study using multivariate logistic regression. Results: A total number of 100 patients met the eligibility criteria. In Thirty-two cases, chemoport catheters were removed due to complication management or termination of adjuvant chemotherapeutic treatment. Fifty-one boys and forty-nine girls enrolled in the study. The mean duration of catheter preservation defined per patient was 693 days ±1 year SD. 14 catheters were removed followed by planned treatment termination, while 18 catheters were complicated due to port dysfunction, infection, skin necrosis, and extravasation, hematoma in order of decreasing. Conclusion: Chemo port utilization is mandatory in pediatric patients with cancers demanding adjuvant treatment. The possible complications would be managed by a variety of protocols. Respecting anti-septic principles by trained personnel will prevent the majority of associated complications.
