COMPLICATION RATE ASSOCIATED WITH TOTALLY IMPLANTABLE VENOUS ACCESS DEVICE (PORTACATH) - A SINGLE INSTITUTE RETROSPECTIVE STUDY

Zahid Amin Khan; Khizer Ahmed Khan; Ranam Akhtar; Khurram Khaliq Bhinder; Maria Rauf; Ahmed Moqeet

COMPLICATION RATE ASSOCIATED WITH TOTALLY IMPLANTABLE VENOUS ACCESS DEVICE (PORTACATH) - A SINGLE INSTITUTE RETROSPECTIVE STUDY

Zahid Amin Khan, Khizer Ahmed Khan, Ranam Akhtar, Khurram Khaliq Bhinder, Maria Rauf, Ahmed Moqeet

Abstract

ABSTRACT:

Aim/Objective:

This retrospective study aimed to analyze the device-related complication rates and compare them with the literature.

Background:

When it comes to providing care for cancer patients who need a continuous or frequent venous access channel for either their primary care treatments or their supportive care treatments, portacaths play a crucial role. Many cases are straightforward, however there may occasionally be issues.

Materials and Methods:

A total of 59 consecutive patients (20 males and 39 females) having a mean age of 57.07 +/- 16.01 years presented to the interventional radiology department of Shifa

International Hospital Islamabad who were implanted with portacaths from 2017 to 2023 were included. We retrospectively assessed all infectious and noninfectious complications associated with the implanted device.

Result:

The most common indication for portacath insertion was malignancy (94.9%) with breast cancer being more common. The most common site for portacath placement was the Right internal jugular vein (76.3 %) followed by the left internal jugular vein (23.7%). The average period for which porta cath was placed was 13 months. No complications were seen in 67.8% of the patients. Infectious causes were seen in 25.4% of the cases, while noninfectious complications were seen in 6.8% of the cases. Following microbiology reports it was seen that pseudomonas aeruginosa was the common bug seen in infectious cases.

Conclusion:

Although portacaths are associated with lower complication rates, infections by different bugs are still the most common complications and should be prevented by taking appropriate steps.

Full Text:

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