Image-guided placement of port catheters: Is there an increased risk of infection if the port is immediately accessed and used?

Gloria Salazar, Kalpana Yeddula, Stephan Wicky, Rahmi Oklu, Suvranu Ganguli, Arthur C. Waltman, Thomas G. Walker, Sanjeeva P. Kalva

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: to compare complication rates in patients who have port-a-catheters inserted and left accessed for immediate use and those who have ports inserted but not accessed. Methods: In this retrospective, IRB-approved study, medical records of patients who received a port catheter between 9/2009 and 2/2010 were reviewed. The data collected included patient demographics, diagnosis, procedure and complications. The patients were categorized into two groups: accessed (patients in whom the port was accessed with a Huber needle for immediate intravenous use and the patient left the procedure area with needle indwelling) and control (patients in whom the ports were not accessed). Complications were classified according to Society of Interventional Radiology guidelines. Results are given as mean ±SD. Statistical analysis was performed with student t test and statistical significance was considered at P<.05. Results: A total of 467 ports were placed in 465 patients (Men: 206); 10.7% in the accessed group (n=50, age: 60±13.9) and 89.3% in the control group (n=417, age: 59±13.5). There were no statistically significant differences in patient demographics between the groups. The overall complication rate was 0.6% (n=3). Two complications (hematoma causing skin necrosis and thrombosis of the port) occurred in the control group and one (infection) in the accessed group. Infection rates after procedures were 2% (1/50) in the accessed group and 0% (0/417) in the control group. There was no statistically significant difference in overall complication (P=.1) and infection (P=.1) rates among the groups. Conclusions: Leaving the port accessed immediately after placement does not increase the risk of infection or other complications.

Original languageEnglish (US)
Pages (from-to)170-174
Number of pages5
JournalJournal of Vascular Access
Volume14
Issue number2
DOIs
StatePublished - 2013
Externally publishedYes

Fingerprint

Vascular Access Devices
Infection
Control Groups
Needles
Demography
Research Ethics Committees
Hematoma
Medical Records
Thrombosis
Necrosis
Guidelines
Students
Skin

Keywords

  • Catheter-related infection
  • Central venous catheterization
  • Chemotherapy
  • Interventional radiology
  • Ports
  • Vascular access

ASJC Scopus subject areas

  • Surgery
  • Nephrology

Cite this

Image-guided placement of port catheters : Is there an increased risk of infection if the port is immediately accessed and used? / Salazar, Gloria; Yeddula, Kalpana; Wicky, Stephan; Oklu, Rahmi; Ganguli, Suvranu; Waltman, Arthur C.; Walker, Thomas G.; Kalva, Sanjeeva P.

In: Journal of Vascular Access, Vol. 14, No. 2, 2013, p. 170-174.

Research output: Contribution to journalArticle

Salazar, Gloria ; Yeddula, Kalpana ; Wicky, Stephan ; Oklu, Rahmi ; Ganguli, Suvranu ; Waltman, Arthur C. ; Walker, Thomas G. ; Kalva, Sanjeeva P. / Image-guided placement of port catheters : Is there an increased risk of infection if the port is immediately accessed and used?. In: Journal of Vascular Access. 2013 ; Vol. 14, No. 2. pp. 170-174.
@article{93b109a757bd4dd78fb1e9a152f7c490,
title = "Image-guided placement of port catheters: Is there an increased risk of infection if the port is immediately accessed and used?",
abstract = "Purpose: to compare complication rates in patients who have port-a-catheters inserted and left accessed for immediate use and those who have ports inserted but not accessed. Methods: In this retrospective, IRB-approved study, medical records of patients who received a port catheter between 9/2009 and 2/2010 were reviewed. The data collected included patient demographics, diagnosis, procedure and complications. The patients were categorized into two groups: accessed (patients in whom the port was accessed with a Huber needle for immediate intravenous use and the patient left the procedure area with needle indwelling) and control (patients in whom the ports were not accessed). Complications were classified according to Society of Interventional Radiology guidelines. Results are given as mean ±SD. Statistical analysis was performed with student t test and statistical significance was considered at P<.05. Results: A total of 467 ports were placed in 465 patients (Men: 206); 10.7{\%} in the accessed group (n=50, age: 60±13.9) and 89.3{\%} in the control group (n=417, age: 59±13.5). There were no statistically significant differences in patient demographics between the groups. The overall complication rate was 0.6{\%} (n=3). Two complications (hematoma causing skin necrosis and thrombosis of the port) occurred in the control group and one (infection) in the accessed group. Infection rates after procedures were 2{\%} (1/50) in the accessed group and 0{\%} (0/417) in the control group. There was no statistically significant difference in overall complication (P=.1) and infection (P=.1) rates among the groups. Conclusions: Leaving the port accessed immediately after placement does not increase the risk of infection or other complications.",
keywords = "Catheter-related infection, Central venous catheterization, Chemotherapy, Interventional radiology, Ports, Vascular access",
author = "Gloria Salazar and Kalpana Yeddula and Stephan Wicky and Rahmi Oklu and Suvranu Ganguli and Waltman, {Arthur C.} and Walker, {Thomas G.} and Kalva, {Sanjeeva P.}",
year = "2013",
doi = "10.5301/jva.5000110",
language = "English (US)",
volume = "14",
pages = "170--174",
journal = "Journal of Vascular Access",
issn = "1129-7298",
publisher = "Wichtig Publishing",
number = "2",

}

TY - JOUR

T1 - Image-guided placement of port catheters

T2 - Is there an increased risk of infection if the port is immediately accessed and used?

AU - Salazar, Gloria

AU - Yeddula, Kalpana

AU - Wicky, Stephan

AU - Oklu, Rahmi

AU - Ganguli, Suvranu

AU - Waltman, Arthur C.

AU - Walker, Thomas G.

AU - Kalva, Sanjeeva P.

PY - 2013

Y1 - 2013

N2 - Purpose: to compare complication rates in patients who have port-a-catheters inserted and left accessed for immediate use and those who have ports inserted but not accessed. Methods: In this retrospective, IRB-approved study, medical records of patients who received a port catheter between 9/2009 and 2/2010 were reviewed. The data collected included patient demographics, diagnosis, procedure and complications. The patients were categorized into two groups: accessed (patients in whom the port was accessed with a Huber needle for immediate intravenous use and the patient left the procedure area with needle indwelling) and control (patients in whom the ports were not accessed). Complications were classified according to Society of Interventional Radiology guidelines. Results are given as mean ±SD. Statistical analysis was performed with student t test and statistical significance was considered at P<.05. Results: A total of 467 ports were placed in 465 patients (Men: 206); 10.7% in the accessed group (n=50, age: 60±13.9) and 89.3% in the control group (n=417, age: 59±13.5). There were no statistically significant differences in patient demographics between the groups. The overall complication rate was 0.6% (n=3). Two complications (hematoma causing skin necrosis and thrombosis of the port) occurred in the control group and one (infection) in the accessed group. Infection rates after procedures were 2% (1/50) in the accessed group and 0% (0/417) in the control group. There was no statistically significant difference in overall complication (P=.1) and infection (P=.1) rates among the groups. Conclusions: Leaving the port accessed immediately after placement does not increase the risk of infection or other complications.

AB - Purpose: to compare complication rates in patients who have port-a-catheters inserted and left accessed for immediate use and those who have ports inserted but not accessed. Methods: In this retrospective, IRB-approved study, medical records of patients who received a port catheter between 9/2009 and 2/2010 were reviewed. The data collected included patient demographics, diagnosis, procedure and complications. The patients were categorized into two groups: accessed (patients in whom the port was accessed with a Huber needle for immediate intravenous use and the patient left the procedure area with needle indwelling) and control (patients in whom the ports were not accessed). Complications were classified according to Society of Interventional Radiology guidelines. Results are given as mean ±SD. Statistical analysis was performed with student t test and statistical significance was considered at P<.05. Results: A total of 467 ports were placed in 465 patients (Men: 206); 10.7% in the accessed group (n=50, age: 60±13.9) and 89.3% in the control group (n=417, age: 59±13.5). There were no statistically significant differences in patient demographics between the groups. The overall complication rate was 0.6% (n=3). Two complications (hematoma causing skin necrosis and thrombosis of the port) occurred in the control group and one (infection) in the accessed group. Infection rates after procedures were 2% (1/50) in the accessed group and 0% (0/417) in the control group. There was no statistically significant difference in overall complication (P=.1) and infection (P=.1) rates among the groups. Conclusions: Leaving the port accessed immediately after placement does not increase the risk of infection or other complications.

KW - Catheter-related infection

KW - Central venous catheterization

KW - Chemotherapy

KW - Interventional radiology

KW - Ports

KW - Vascular access

UR - http://www.scopus.com/inward/record.url?scp=84880068956&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880068956&partnerID=8YFLogxK

U2 - 10.5301/jva.5000110

DO - 10.5301/jva.5000110

M3 - Article

C2 - 23080333

AN - SCOPUS:84880068956

VL - 14

SP - 170

EP - 174

JO - Journal of Vascular Access

JF - Journal of Vascular Access

SN - 1129-7298

IS - 2

ER -