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. 2015 May;100(5):827-35.
doi: 10.9738/INTSURG-D-14-00214.1.

Performance of venous port catheter insertion by a general surgeon: a prospective study

Mehmet Aziret  1 , Oktay İrkörücü, Cihan Gökler, Enver Reyhan, Süleyman Çetinkünar, Timuçin Çil, Edip Akpınar, Hasan Erdem, Kamuran Cumhur Değer
Affiliations

Performance of venous port catheter insertion by a general surgeon: a prospective study

Mehmet Aziret et al. Int Surg. 2015 May.

Abstract

As part of the vascular access procedures, venous ports, commonly referred to as catheters, are placed under the skin to enable safe and easy vascular access for administration of repeated drug treatments. 122 patients who had received a venous port catheter insertion procedure in the general surgery department between January 1012 and January 2014 were involved in this study. Patients were divided into two groups: those who had undergone a fluoroscopy (group 1) and those who had not undergone a fluoroscopy (group 2). Complications that emerged during and after the port catheter insertion procedure and successful insertion rates were recorded in the database. Data of these patients were presented in a prospective manner. There were 92 to 30 patients in groups 1 and 2, respectively. In group 1, the mean age was approximately 56.8, total catheter stay time was 20,631 days, and mean time of port use was 224.2 days. In group 2, the mean age was approximately 61.2, total catheter stay time was 13,575 days, and mean time of port use was 452.5 days. Successful insertion rate was 100% and 90% in groups 1 and 2, respectively (P < 0.05). The proper insertion of the port catheter accompanied by monitoring methods can decrease procedure-related complications. Statistical comparisons between the two groups in terms of malposition and successful insertion rates also support this view (P < 0.05). The findings support the view that in cancer patients, a venous port catheter insertion accompanied by a fluoroscopy can be safely performed by general surgeons.

Keywords: Cancer; Infusion treatment; Port catheter.

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Figures

Fig. 1
Fig. 1
Insertion of port catheter with C-arm fluoroscopy. Guide wire in subclavian vein (A), vein dilator catheter over the guide wire (B), port catheter is placed through the vein dilator (C), control X-Ray (D).
Fig. 2
Fig. 2
Malposition of catheter (A) and skin necrosis (B).
See this image and copyright information in PMC

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