Long-term totally implantable venous access port systems - one centre's experience

Background. Implantable venous access ports are essential for patients requiring chronic venous access. The aim of this study was to determine securities, risks of complications and patients' satisfaction with using a port system. Methods. Between April 2008 and May 2013, 220 consecutive patients (mean age: 53 +/- 12 years; 155 female) were enrolled into this observational, single-centre study. 65 patients who received a port system were asked to complete a questionnaire with the aim of evaluating the patient's satisfaction and quality of life. Results. First vena subclavia and later internal jugular were the most frequently used for venous access. Among serious complications, three cases (1.5%) of pneumothorax were observed. Technical difficulties of cannulation were observed in 12 cases (5.6%). In the late period, functional complications, defined as 'easy injection, impossible aspiration' at port access, affected more than 25% of the patients. Conclusions. Implantation of vascular ports is a safe procedure, and serious complications are rare. In the evaluated group, complications connected with the complete functioning of ports were observed. Among responders, more than 90% of patients reported high overall satisfaction.