Application of fully
implantable ports in hemato-oncological patients
HUBÁČEK J.1, SZOTKOWSKI T.1, HUBÁČKOVÁ L.2, PAPAJÍK T.1, RAIDA L.1, INDRÁK K.1
1Hemato-onkologická klinika FN, Olomouc, přednosta prof. MUDr. K. Indrák, DrSc. 2Oddělení klinické psychologie FN, Olomouc, primářka PhDr. N. Dařílková |
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Summary:
Summarized is our own experience with the implantation of subcutaneous ports in hemato-oncological
patients, with the use of ports, and with complications which have appeared in their
application.The series under assessment includes 216 patients who had venous ports implanted
in the years 1997 through 2002. Venous ports at the time of assessment have been in place a
total of 99 335 days under treatment. Ports from the companies B. Braun and Ella CS were
used in a standard way for applying drugs, taking blood samples, applying blood derivatives,
as well as for transplanting peripheral hemopoietic stem cells. At an average the ports were in
place 459 days with a median of 403.5 days in the range of 7 to 1404 days. The overall number
of complications was surprisingly very low - 49, i.e. 22.68%, representing 0.49 complication per
1000 treatment days. In the usual central catheters and in Hickman catheters the number of
complications reaches 50 to 80%. Only 28 of the 101 ports, i.e. 27.7% of the overall number had
to be extracted due to some complication. Infectious complications have appeared in the series
in only 6.94% of patients. Those complications represented 30.61%of all complications and were
the most frequently appearing. As regards quality of life, the patients perceive the port to be a
positive contribution and are satisfied foremost with the painless application of therapy and
that they are not hindered by it in their everyday lives. It has thus been demonstrated that
ports are the safest and relatively least expensive alternative for the application of drugs into
a central vein in hemato-oncological patients.
Key words:
port - complication - infection - quality of life.
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