Use of vacuum therapy in access port catheter extravasation of vesicant cytotoxic agents

Autor: Alejandro Gabriel Da Lozzo
Zdroj: Alejandro Da Lozzo
Popis: Extravasation of vesicant cytotoxic is a severe complication of chemotherapy. Although access port catheters are used to reduce extravasation, rates up to 4.7% have been reported. Complications can be severe with tissue necrosis or even organ failure and death. The principal cause is needle malpositioning. Treatment mostly includes immediate explantation of the port and subcutaneous lavage. We report two cases: one with conservative treatment with port explant and local wound care and another patient with aggressive treatment that included port explant, lavage and use of vacuum therapy to complete suction of any remnant vesicant cytotoxic.
Databáze: OpenAIRE