Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and Outcomes
Aim: Our primary focus was port patency, postoperative complications, mortality rates, and demographic factors. Methods: In this extensive four-year study, we examined subcutaneous port catheter placement in 172 oncology patients (111 men, 61 women) between March 2018 and December 2021. We excluded...
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| Format: | Article |
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Alanya Alaaddin Keykubat University
2024-12-01
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| Series: | Acta Medica Alanya |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/4207851 |
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| author | Asiye Aslı Gözüaçık Rüzgar Hakan Öntaş |
| author_facet | Asiye Aslı Gözüaçık Rüzgar Hakan Öntaş |
| author_sort | Asiye Aslı Gözüaçık Rüzgar |
| collection | DOAJ |
| description | Aim: Our primary focus was port patency, postoperative complications, mortality rates, and demographic factors. Methods: In this extensive four-year study, we examined subcutaneous port catheter placement in 172 oncology patients (111 men, 61 women) between March 2018 and December 2021. We excluded one 10-month-old infant who received a pediatric port catheter. Results: Patients predominantly underwent jugular intervention via the right internal jugular vein (97%) and occasionally via the left internal jugular vein (3%). On average, the port patency lasted for 375 days, with an overall duration of 432 days. Males had a mean patency of 13.58 months, while females averaged 11.97 months. Notably, bladder cancer patients had the longest port patency (44 months), followed by uterine cancer (35 months) and breast cancer (22.5 months). Among the 171 patients, nine had mild to moderate infections, six had mild ecchymosis-hematoma, and two required early catheter removal due to severe infections. Only one patient had mild pneumothorax that did not necessitate surgery. No major complications, such as hemothorax, nerve injury, neck compression, massive hematoma, blood transfusion, substantial bleeding, port detachment, rupture, or fragment embolism were recorded. Conclusion: Subcutaneous port catheter placement proved to be safe and effective for patients undergoing chemotherapy, particularly with skilled surgical teams. Procedures via the right internal jugular vein consistently yielded favorable outcomes, with low infection rates, minimal occlusion, stenosis, thrombosis, and complication rates, while maintaining extended port patency. This study underscores the substantial improvement in oncology patients' quality of life by eliminating the challenges associated with frequent peripheral vessel access. |
| format | Article |
| id | doaj-art-e90d5a831e994dc095515435e38020a7 |
| institution | OA Journals |
| issn | 2587-0319 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj-art-e90d5a831e994dc095515435e38020a72025-08-20T02:19:26ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192024-12-018322823510.30565/medalanya.1548606727Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and OutcomesAsiye Aslı Gözüaçık Rüzgar0https://orcid.org/0000-0003-4273-6035Hakan Öntaş1https://orcid.org/0000-0001-8612-3607Balıkesir Şehir HastanesiBALIKESİR ATATÜRK ŞEHİR HASTANESİAim: Our primary focus was port patency, postoperative complications, mortality rates, and demographic factors. Methods: In this extensive four-year study, we examined subcutaneous port catheter placement in 172 oncology patients (111 men, 61 women) between March 2018 and December 2021. We excluded one 10-month-old infant who received a pediatric port catheter. Results: Patients predominantly underwent jugular intervention via the right internal jugular vein (97%) and occasionally via the left internal jugular vein (3%). On average, the port patency lasted for 375 days, with an overall duration of 432 days. Males had a mean patency of 13.58 months, while females averaged 11.97 months. Notably, bladder cancer patients had the longest port patency (44 months), followed by uterine cancer (35 months) and breast cancer (22.5 months). Among the 171 patients, nine had mild to moderate infections, six had mild ecchymosis-hematoma, and two required early catheter removal due to severe infections. Only one patient had mild pneumothorax that did not necessitate surgery. No major complications, such as hemothorax, nerve injury, neck compression, massive hematoma, blood transfusion, substantial bleeding, port detachment, rupture, or fragment embolism were recorded. Conclusion: Subcutaneous port catheter placement proved to be safe and effective for patients undergoing chemotherapy, particularly with skilled surgical teams. Procedures via the right internal jugular vein consistently yielded favorable outcomes, with low infection rates, minimal occlusion, stenosis, thrombosis, and complication rates, while maintaining extended port patency. This study underscores the substantial improvement in oncology patients' quality of life by eliminating the challenges associated with frequent peripheral vessel access.https://dergipark.org.tr/tr/download/article-file/4207851port cathetercomplicationsintravenous chemotherapymalignancyinternal jugular veinport kataterkomplikasyonlari̇ntravenöz kemoterapimaligniteinternal juguler ven |
| spellingShingle | Asiye Aslı Gözüaçık Rüzgar Hakan Öntaş Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and Outcomes Acta Medica Alanya port catheter complications intravenous chemotherapy malignancy internal jugular vein port katater komplikasyonlar i̇ntravenöz kemoterapi malignite internal juguler ven |
| title | Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and Outcomes |
| title_full | Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and Outcomes |
| title_fullStr | Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and Outcomes |
| title_full_unstemmed | Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and Outcomes |
| title_short | Four-Year Study on Subcutaneous Port Catheters in Oncology Patients: Patency, Complications, and Outcomes |
| title_sort | four year study on subcutaneous port catheters in oncology patients patency complications and outcomes |
| topic | port catheter complications intravenous chemotherapy malignancy internal jugular vein port katater komplikasyonlar i̇ntravenöz kemoterapi malignite internal juguler ven |
| url | https://dergipark.org.tr/tr/download/article-file/4207851 |
| work_keys_str_mv | AT asiyeaslıgozuacıkruzgar fouryearstudyonsubcutaneousportcathetersinoncologypatientspatencycomplicationsandoutcomes AT hakanontas fouryearstudyonsubcutaneousportcathetersinoncologypatientspatencycomplicationsandoutcomes |