Double port-a-cath implantation: initial experience in Brazil and technical note tips and tricks: a series report.

Autor: de Oliveira Leite TF; Interventional Radiology, Radiology Department, University of São Paulo, Rua Rafael Rinaldi, 365, apto 603, Uberlândia, São Paulo, 38400-384, Brazil. tuliofabiano@hotmail.com.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Nov 04; Vol. 18 (1), pp. 534. Date of Electronic Publication: 2024 Nov 04.
DOI: 10.1186/s13256-024-04845-0
Abstrakt: Background: This study was designed to evaluate the clinical benefit of double-lumen port catheters in patients receiving chemotherapy and parenteral nutrition concurrently or in those with vascular access failure. The advantages, complications, indications and duration of use of double port-a-cath were considered.
Methods: Thirteen Brazilian patients received a double-lumen port catheter that was implanted under ultrasonographic and fluoroscopic guidance in the radiologic interventional suite.
Results: All double-lumen port systems were successfully implanted in all patients without immediate complications. The port-a-cath was removed in two patients due to infection of the reservoir. Three deaths occurred due to underlying disease with no correlation to the port-a-cath. No temporal interference between the administration of chemotherapy and parenteral nutrition was observed.
Conclusion: The double-door approach is a safe technique with low complication rates. Indications for use of the dual port are numerous and should be encouraged because of the considerable benefits for critically ill patients.
(© 2024. The Author(s).)
Databáze: MEDLINE
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