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Peripheral ports are a new option for central venous access
1Department of Surgery, Good Samaritan Hospital, Portland, Oregon, USA.
Journal of the American College of Surgeons
|April 1, 1995
Summary
Peripheral ports offer a successful, low-complication central venous access solution with high patient and staff acceptance. This five-year evaluation highlights their long duration and cost-effectiveness.
Area of Science:
- Medical Devices
- Vascular Access
- Surgical Outcomes
Background:
- Peripheral ports are emerging as a central venous access option.
- They are associated with low complication rates and long-term use.
Purpose of the Study:
- To evaluate the efficacy and safety of peripheral ports over a five-year period.
- To assess port duration, complication rates, ease of placement, and cost-effectiveness.
Main Methods:
- A retrospective evaluation of 140 peripheral ports was conducted.
- Data were collected by a nurse specialist team and physician questionnaires.
- Placement methods evolved, culminating in a standardized approach.
Main Results:
- Mean port duration was 343 days; 45 ports exceeded one year.
- Overall complication rate was 1.76/1,000 days, with low infection (0.32/1,000 days) and phlebitis (0.16/1,000 days) rates.
- 80% of ports were placed outpatient, demonstrating cost savings.
Conclusions:
- Peripheral ports are a highly successful central venous access method.
- High patient and nursing staff acceptance was observed.
- The devices offer a safe and cost-effective alternative for long-term venous access.