Complications and pitfalls of central venous port catheters: experience with 782 patients with cancer


Ince M. E. , Ozkan G., Ors N., Yildirim A. K. , Doganci S.

IRISH JOURNAL OF MEDICAL SCIENCE, cilt.189, ss.1371-1377, 2020 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 189 Konu: 4
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1007/s11845-020-02207-5
  • Dergi Adı: IRISH JOURNAL OF MEDICAL SCIENCE
  • Sayfa Sayıları: ss.1371-1377

Özet

Background The clinical use of port catheters has become widespread because they provide a safe and easy vascular route. Such widespread use of vascular port catheters has revealed early and late complications. Aim This study was evaluated the early and late noninfectious complications and present precautions and pitfalls to handle these complications. Methods The retrospective observational study comprised 801 vascular port catheters inserted into 782 adult patients for various reasons between 2010 and 2018. Patient demographic, indications for port catheter implantation, port catheter types, and insertion sides were noted. Port catheter implantation related early and late complications were recorded. Results The subclavian vein was selected as a target vein in almost all of the interventions (98.9%). Similarly, right-sided veins were used in about 90% of patients. The most common problem was technical issues related to the interventions. If venous cannulation was challenging, ultrasonography and fluoroscopy guidance roadmap technique were used. Most serious complication was pneumothorax in 7 patients. In the late period, the most common problem was thrombotic occlusion of the catheter. In two-thirds of these patients, thrombolytic therapy for thrombosed port catheters may rescue some catheters and avoid secondary port catheter insertions. Conclusions Despite these benefits, port catheters are associated with various complications. However, most of these complications can be effectively prevented by proper techniques and easily applied precautions.