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Subcutaneous venous port catheter insertion through subclavian vein on 770 patients: do the catheter type and the placement technique matter?

Year: 2025
Type: article
Study design: Observational Study
Abstract: Objective: The aim of this study was to present our clinical experience in patients undergoing subcutaneous venous port catheter (SVPC) placement through subclavian vein for chemotherapy.Methods: We retrospectively investigated 770 patients undergoing SVPC placement.Two different catheters were used (polyurethane [n = 100, 13%] and silicone [n = 670, 87%]).Port reservoir (PR) was placed by removing subcutaneous fatty tissue equivalent to the resevoir size (n = 220, 29%), or buried directly under fatty tissue (n = 550, 71%).Results and complications according to catheter types and placement techniques were investigated.Results: There were 59 complications (7.7%).Port-site infection and wound dehiscence were higher when the reservoir was placed after removing subcutaneous fatty tissue (p < 0.05).Port-site infection, wound dehiscence, subclavian vein thrombosis, and catheter occlusion were common in polyurethane catheters (p < 0.05).Of 192 patients who were followedup (mean 18 months), SVPC was removed in 25% due to the death of the patients (n = 100), completion of treatment (n = 87), and development of complication (n = 5).Conclusion: During SVPC insertion, the placement of PR under the adipose tissue and preferring silicone catheters may reduce the complication rates.
DOI: 10.24875/cirue.m24000864
Language: English
Open Access status: diamond
OpenAlex ID: W4414634462
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