Implantable venous ports in pediatric oncology: experience of single institution in Russia

• Published in: The journal of vascular access Vol. 17; no. 4; p. 345
• Main Authors: Rykov, Maxim Yu, Polyakov, Vladimir G
• Format: Journal Article
• Language: English
• Published: United States 01.07.2016
• Subjects: Administration, Intravenous; Adolescent; Age Factors; Antineoplastic Agents - administration & dosage; Catheter Obstruction - etiology; Catheter-Related Infections - diagnosis; Catheter-Related Infections - microbiology; Catheterization, Central Venous - adverse effects; Catheterization, Central Venous - instrumentation; Child; Child, Preschool; Equipment Design; Female; Humans; Infant; Jugular Veins; Male; Medical Oncology - methods; Neoplasms - diagnosis; Neoplasms - drug therapy; Pediatrics - methods; Punctures; Risk Factors; Russia; Time Factors; Treatment Outcome; Vascular Access Devices; Vascular System Injuries - diagnosis; Vascular System Injuries - etiology
• ISSN: 1724-6032
• DOI: 10.5301/jva.5000556

To review our experience with implantable venous port-systems (IVPs) in pediatric cancer patients. From 2010 to 2015 we were monitoring the treatment of 163 children (aged 3 months to 17 years) with oncologic diseases. These patients underwent venous port implantations. During insertion of 163 IVPs the following complications and technical difficulties were present: unintended puncture of the common carotid artery (CCA) during the puncture of the internal jugular vein (IJV) - 7 cases (4.3%); retrograde positioning of the distal end of the guidewire in the IJV - 17 cases (14.4%); placement of the distal end of the guidewire into the punctured subclavian vein (SV) - 12 cases (7.6%); difficulties driving the guidewire into the IJV after successful puncture - 15 cases (9.3%). The use of 163 IVPs was complicated by the following: venous port contamination - 4 cases (2.5%); occlusion of the IVPs by a clot - 8 cases (5%); withdrawal of the Huber needle bevel from the port chamber - 22 cases (13.6%); subcutaneous fat layer thinning above the port chamber - 3 cases (1.7%). There are many complications, but they can be reduced by proper choice of materials and methodology.