Subkutan venöz port katater uygulamalarımızın değerlendirilmesi: 6 yıllık klinik tecrübemiz

Yıl 2020, Cilt: 6 Sayı: 1, 29 - 40, 23.04.2020

Cengiz Güven

https://doi.org/10.30569/adiyamansaglik.624148

Cited By: 2

Öz

Amaç: Bu çalışmada amacımız, malignite tanısı ile port kateter implante edilen hastaları retrospektif olarak incelemek ve deneyimlerimizi paylaşmaktır.
Gereç ve Yöntem: Ağustos 2012-Aralık 2018 tarihleri arasında Adıyaman Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Kliniğinde malignensi tanısıyla port kateteri takılan hastalar çalışmaya dâhil edildi. Toplam 231 hasta (97 kadın, 134 erkek) retrospektif olarak, hastane veri kayıt sisteminden incelenerek verileri (demografik veri, venöz erişim yolu, teknik ve komplikasyonlar) toplandı.
Bulgular: Yapılan dosya taramasında hastaların en geç 2 gün sonra kateterden kemoterapi aldıkları tespit edildi. Postoperatif takiplerde; 7 hastamızda kateter trombozu, 1 hastamızda kateter enfeksiyonu, 4 hastamızda kateter tünel bölgesinde hematom, 40 hastamızda ciltte ekimoz oluştuğu ve obez 1 hastamızda rezervuarın ters döndüğü tespit edildi. Subkutan yağ dokusu zayıf olan bir hastamızda ise rezervuarın cildi erode ederek cilt nekrozu oluşturduğu görüldü.
Sonuç: Subkutan venöz port kateteri kanser hastalarında etkin ve güvenilir bir venöz erişim yoludur. Uygun teknik ve tecrübeli ellerle yapıldığı taktirde minimal komplikasyon ve uzun süreli bir venöz erişim yolu sağlar.

Anahtar Kelimeler

Kanser, Kemoterapi, Venöz port kateter, Komplikasyon

The evaluation of subcutaneous venous port catheter applications: 6 years of our clinical experience

Öz

Aim: Our aim in this study is to retrospectively examine patients who were implanted a port catheter with a diagnosis of malignancy and share our experiences. 

Materials and Methods: The patients who had admission to port catheter with the diagnosis of malignancy between August 2012 and December 2018 at Adıyaman University Faculty of Medicine Cardiovascular Surgery Clinic were included in the study. A total of 231 patients (97 females, 134 males) were analyzed retrospectively from the hospital data recording system (demographic data, venous access, technique and complications).

Results: In the file scan, it was found that the patients had received chemotherapy from the catheter in no later than 2 days. In terms of complication, it was determined that catheter thrombosis was found in 7 patients, catheter infection in 1 patient, hematoma in the catheter tunnel area in 4 patients, skin ecchymosis in 40 patients and the reversal of the reservoir in 1 obese patient was detected. In one patient with weak subcutaneous adipose tissue, it was determined that the reservoir had caused skin necrosis by eroding the skin.

Conclusion: Subcutaneous venous port catheter is an effective and reliable venous access in cancer patients. It provides minimal complications and long-term venous access on condition that it is performed with appropriate techniques and experienced hands.

Anahtar Kelimeler

Cancer, Chemotherapy, Venous port catheter, Complication

Kaynakça

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