Complications of imaging-assisted port catheters and factors affecting complications

Muhammed Tekinhatun; Muhammet Arslan; Halil Serdar Aslan; Hüseyin Gökhan Yavaş; Mahmut Demirci; Başak Ünver Koluman; Kadirhan Alver

doi:10.31362/patd.1368908

EN TR

Complications of imaging-assisted port catheters and factors affecting complications

Abstract

Purpose: This research investigates complications associated with Imaging-Assisted Port Catheters (IAPCs) to provide insights for healthcare professionals involved in their usage. The study aims to optimize patient safety, implement preventive strategies, and guide evidence-based decision-making in the clinical use of IAPCs. Materials and methods: A retrospective study comprising 1247 patients who underwent IAPC placement in the Interventional Radiology Unit between 01.09.2012-01.09.2020 was conducted. Data, including indications for port placement, complications, duration of port stay, and reasons for explantation, were extracted from electronic medical records. Comparative analysis with surgically implanted ports was performed, and the efficacy and safety of imaging-guided port implantation were assessed. Results: The study predominantly involved right internal jugular vein placement (93.8%). Major complications did not occur during the 7 to 1330 days of port usage. The average usage period was 243 days, totaling 310,503 catheter-days. Infectious complications were the most common (4.8%), significantly higher (13.9%) in hematological malignancies. Multivariate analysis revealed a significantly increased complication rate in hematological malignancy patients (p<0.001). Conclusion: The research reveals an 8.6% overall incidence of complications in IAPC usage, with hematologic malignancy identified as a significant independent risk factor. The low complication rate per 1000 catheter days (0.36) aligns with recent studies, emphasizing the benefits of image guidance and procedural expertise. Notably, infectious complications, especially in hematologic malignancy patients, underscore the need for further research to refine IAPC management for long-term intravenous access. The study contributes essential insights for healthcare professionals involved in the field, emphasizing ongoing efforts in advancing IAPC management for the benefit of patients.

Keywords

Cancer treatment, catheterization, complication, totally implantable access port, ultrasound guidance

Supporting Institution

none

Ethical Statement

Ethics committee approval: Ethics Committee approval from Pamukkale University Medical Ethics Committee (10.12.2020/60116787-020/73335)) were obtained.

Thanks

none

Görüntüleme eşliğinde takılan port kateterlerinin komplikasyonları ve komplikasyonlara etki eden faktörler

Abstract

Amaç: Bu araştırma, Görüntüleme Destekli Port Kateterler (IAPC'ler) ile ilişkili komplikasyonları araştırarak, bunların kullanımında yer alan sağlık çalışanlarına öngörü sağlamaktadır. Çalışma, hasta güvenliğini optimize etmeyi, önleyici stratejiler uygulamayı ve IAPC'lerin klinik kullanımında kanıta dayalı karar verme sürecine rehberlik etmeyi amaçlamaktadır. Gereç ve yöntem: Girişimsel Radyoloji Ünitesinde 01.09.2012-01.09.2020 tarihleri arasında IAPC yerleştirilen 1247 hastayı içeren retrospektif bir çalışma yapıldı. Port yerleştirme endikasyonları, komplikasyonlar, portun kalış süresi ve eksplantasyon nedenleri dahil olmak üzere veriler elektronik tıbbi kayıtlardan elde edildi. Cerrahi olarak implante edilen portlarla karşılaştırmalı analiz yapıldı ve görüntüleme kılavuzluğunda port implantasyonunun etkinliği ve güvenliği değerlendirildi. Bulgular: Çalışmada ağırlıklı olarak sağ internal juguler ven yerleştirildi (%93,8). Portun 7 ila 1330 günlük kullanımı sırasında majör komplikasyon görülmedi. Ortalama kullanım süresi 243 gün ve toplam 310.503 kateter günü idi. En sık enfeksiyöz komplikasyonlar (%4,8) görülmüş olup hematolojik malignitelerde anlamlı derecede yüksektir (%13,9). Çok değişkenli analiz hematolojik malignite hastalarında komplikasyon oranının önemli ölçüde arttığını ortaya koymuştur (p<0,001). Sonuç: Araştırma, IAPC kullanımında genel komplikasyon insidansının %8,6 olduğunu ve hematolojik malignitenin önemli bir bağımsız risk faktörü olarak tanımlandığını ortaya koymaktadır. Her 1000 kateter günü başına düşen düşük komplikasyon oranı (0,36), görüntü rehberliği ve prosedürel uzmanlığın faydalarını vurgulayan son çalışmalarla uyumludur. Özellikle hematolojik malignite hastalarında görülen enfeksiyöz komplikasyonlar, uzun süreli intravenöz erişim için IAPC yönetimini iyileştirmeye yönelik daha fazla araştırma yapılması gerektiğinin altını çizmektedir. Bu çalışma, hastaların yararına IAPC yönetimini ilerletmek için devam eden çabaları vurgulayarak, bu alanda çalışan sağlık profesyonelleri için önemli bilgiler sunmaktadır.

Keywords

Kanser tedavisi, kateterizasyon, komplikasyon, tamamen implante edilebilir port kateter, ultrason rehberliği

References

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Details

Primary Language

English

Subjects

Radiology and Organ Imaging

Journal Section

Research Article

Authors

Muhammed Tekinhatun ^*
0000-0002-3240-6991
Türkiye

Muhammet Arslan
0000-0001-5565-0770
Türkiye

Halil Serdar Aslan
0000-0002-5255-8618
Türkiye

Hüseyin Gökhan Yavaş
0000-0003-4220-3482
Türkiye

Mahmut Demirci
0000-0001-8201-9618
Türkiye

Başak Ünver Koluman
0000-0003-1106-5021
Türkiye

Kadirhan Alver
0000-0002-4692-2401
Türkiye

Early Pub Date

February 20, 2024

Publication Date

April 1, 2024

Submission Date

September 30, 2023

Acceptance Date

February 13, 2024

Published in Issue

Year 2024 Volume: 17 Number: 2

DOI

https://doi.org/10.31362/patd.1368908

IZ

https://izlik.org/JA88CR37AW

APA

Tekinhatun, M., Arslan, M., Aslan, H. S., Yavaş, H. G., Demirci, M., Ünver Koluman, B., & Alver, K. (2024). Complications of imaging-assisted port catheters and factors affecting complications. Pamukkale Medical Journal, 17(2), 303-312. https://doi.org/10.31362/patd.1368908

AMA

1.Tekinhatun M, Arslan M, Aslan HS, et al. Complications of imaging-assisted port catheters and factors affecting complications. Pam Med J. 2024;17(2):303-312. doi:10.31362/patd.1368908

Chicago

Tekinhatun, Muhammed, Muhammet Arslan, Halil Serdar Aslan, et al. 2024. “Complications of Imaging-Assisted Port Catheters and Factors Affecting Complications”. Pamukkale Medical Journal 17 (2): 303-12. https://doi.org/10.31362/patd.1368908.

EndNote

Tekinhatun M, Arslan M, Aslan HS, Yavaş HG, Demirci M, Ünver Koluman B, Alver K (April 1, 2024) Complications of imaging-assisted port catheters and factors affecting complications. Pamukkale Medical Journal 17 2 303–312.

IEEE

[1]M. Tekinhatun et al., “Complications of imaging-assisted port catheters and factors affecting complications”, Pam Med J, vol. 17, no. 2, pp. 303–312, Apr. 2024, doi: 10.31362/patd.1368908.

ISNAD

Tekinhatun, Muhammed - Arslan, Muhammet - Aslan, Halil Serdar - Yavaş, Hüseyin Gökhan - Demirci, Mahmut - Ünver Koluman, Başak - Alver, Kadirhan. “Complications of Imaging-Assisted Port Catheters and Factors Affecting Complications”. Pamukkale Medical Journal 17/2 (April 1, 2024): 303-312. https://doi.org/10.31362/patd.1368908.

JAMA

1.Tekinhatun M, Arslan M, Aslan HS, Yavaş HG, Demirci M, Ünver Koluman B, Alver K. Complications of imaging-assisted port catheters and factors affecting complications. Pam Med J. 2024;17:303–312.

MLA

Tekinhatun, Muhammed, et al. “Complications of Imaging-Assisted Port Catheters and Factors Affecting Complications”. Pamukkale Medical Journal, vol. 17, no. 2, Apr. 2024, pp. 303-12, doi:10.31362/patd.1368908.

Vancouver

1.Muhammed Tekinhatun, Muhammet Arslan, Halil Serdar Aslan, Hüseyin Gökhan Yavaş, Mahmut Demirci, Başak Ünver Koluman, Kadirhan Alver. Complications of imaging-assisted port catheters and factors affecting complications. Pam Med J. 2024 Apr. 1;17(2):303-12. doi:10.31362/patd.1368908

Pamukkale Medical Journal is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).

Complications of imaging-assisted port catheters and factors affecting complications

Abstract

Keywords

Supporting Institution

Ethical Statement

Thanks

Görüntüleme eşliğinde takılan port kateterlerinin komplikasyonları ve komplikasyonlara etki eden faktörler

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Early Pub Date

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite