Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India

Background: Chemoport is an essential part of the management of children with cancer and provides long-term venous access. There are few studies from resource poor countries reporting complications of chemoport. Aims: This study was aimed at describing the complications of chemoport in patients with...

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Main Authors: S Aparna, S Ramesh, L Appaji, Kavitha Srivatsa, Gowri Shankar, Vinay Jadhav, Narendra Babu
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015-01-01
Series:South Asian Journal of Cancer
Subjects:
Online Access:http://journal.sajc.org/article.asp?issn=2278-330X;year=2015;volume=4;issue=3;spage=143;epage=145;aulast=Aparna
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spelling doaj-10e3ffdf520e46658d2cd585f8cf6f182020-12-02T17:56:35ZengThieme Medical and Scientific Publishers Pvt. Ltd.South Asian Journal of Cancer2278-330X2278-43062015-01-014314314510.4103/2278-330X.173179Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern IndiaS AparnaS RameshL AppajiKavitha SrivatsaGowri ShankarVinay JadhavNarendra BabuBackground: Chemoport is an essential part of the management of children with cancer and provides long-term venous access. There are few studies from resource poor countries reporting complications of chemoport. Aims: This study was aimed at describing the complications of chemoport in patients with cancer. Materials and Methods: This retrospective observational study analyzed 200 patients <15 years of age who underwent chemoport insertion. The medical records of these patients were reviewed for the patient characteristics, diagnosis, nature of port use, port-related complications and their management. Results: A total of 209 ports were implanted in 200 patients and 24 ports were removed due to port-related complications. There were 122 boys and 78 girls whose ages ranged from 4 months to 13 years (median age 2.5 years). About72% of patients were <2 years old. The cumulative duration of catheterization was 54,100 days. Of 209 ports, there were 36 complications that led to the removal of 21 ports. Port-related infection was the most common infection observed in our study (0.66/1000 catheter days and 11.9%). Mechanical complications were seen in 9 patients. Venous thrombosis and skin necrosis occurred in one patient each. Conclusions: Use of chemoport is safe and is a boon for children with cancer in developing countries with incidence of complications similar to Western countries. Although use of chemoport is associated with complications, they are easily managed. With stringent catheter care by trained personnel, some complications can be prevented.http://journal.sajc.org/article.asp?issn=2278-330X;year=2015;volume=4;issue=3;spage=143;epage=145;aulast=AparnaBloodstream infectionchemoportimplantable venous access deviceinternal jugular vein
collection DOAJ
language English
format Article
sources DOAJ
author S Aparna
S Ramesh
L Appaji
Kavitha Srivatsa
Gowri Shankar
Vinay Jadhav
Narendra Babu
spellingShingle S Aparna
S Ramesh
L Appaji
Kavitha Srivatsa
Gowri Shankar
Vinay Jadhav
Narendra Babu
Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India
South Asian Journal of Cancer
Bloodstream infection
chemoport
implantable venous access device
internal jugular vein
author_facet S Aparna
S Ramesh
L Appaji
Kavitha Srivatsa
Gowri Shankar
Vinay Jadhav
Narendra Babu
author_sort S Aparna
title Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India
title_short Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India
title_full Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India
title_fullStr Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India
title_full_unstemmed Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India
title_sort complications of chemoport in children with cancer: experience of 54,100 catheter days from a tertiary cancer center of southern india
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
series South Asian Journal of Cancer
issn 2278-330X
2278-4306
publishDate 2015-01-01
description Background: Chemoport is an essential part of the management of children with cancer and provides long-term venous access. There are few studies from resource poor countries reporting complications of chemoport. Aims: This study was aimed at describing the complications of chemoport in patients with cancer. Materials and Methods: This retrospective observational study analyzed 200 patients <15 years of age who underwent chemoport insertion. The medical records of these patients were reviewed for the patient characteristics, diagnosis, nature of port use, port-related complications and their management. Results: A total of 209 ports were implanted in 200 patients and 24 ports were removed due to port-related complications. There were 122 boys and 78 girls whose ages ranged from 4 months to 13 years (median age 2.5 years). About72% of patients were <2 years old. The cumulative duration of catheterization was 54,100 days. Of 209 ports, there were 36 complications that led to the removal of 21 ports. Port-related infection was the most common infection observed in our study (0.66/1000 catheter days and 11.9%). Mechanical complications were seen in 9 patients. Venous thrombosis and skin necrosis occurred in one patient each. Conclusions: Use of chemoport is safe and is a boon for children with cancer in developing countries with incidence of complications similar to Western countries. Although use of chemoport is associated with complications, they are easily managed. With stringent catheter care by trained personnel, some complications can be prevented.
topic Bloodstream infection
chemoport
implantable venous access device
internal jugular vein
url http://journal.sajc.org/article.asp?issn=2278-330X;year=2015;volume=4;issue=3;spage=143;epage=145;aulast=Aparna
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