Risk factors for venous port migration in a single institute in Taiwan
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RESEARCH
WORLD JOURNAL OF SURGICAL ONCOLOGY
Open Access
Risk factors for venous port migration in a single institute in Taiwan Wen-Chieh Fan1†, Cheng-Han Wu2†, Ming-Ju Tsai3, Ying-Ming Tsai2, Hsu-Liang Chang2, Jen-Yu Hung3,4, Pei-Huan Chen1 and Chih-Jen Yang2,4*
Abstract Background: An implantable port device provides an easily accessible central route for long-term chemotherapy. Venous catheter migration is one of the rare complications of venous port implantation. It can lead to side effects such as pain in the neck, shoulder, or ear, venous thrombosis, and even life-threatening neurologic problems. To date, there are few published studies that discuss such complications. Methods: This retrospective study of venous port implantation in a single center, a Taiwan hospital, was conducted from January 2011 to March 2013. Venous port migration was recorded along with demographic and characteristics of the patients. Results: Of 298 patients with an implantable import device, venous port migration had occurred in seven, an incidence rate of 2.3%. All seven were male and had received the Bard port Fr 6.6 which had smaller size than TYCO port Fr 7.5 and is made of silicon. Significantly, migration occurred in male patients (P = 0.0006) and in those with lung cancer (P = 0.004). Multivariable logistic regression analysis revealed that lung cancer was a significant risk factor for port migration (odds ratio: 11.59; P = 0.0059). The migration rate of the Bard port Fr 6.6 was 6.7%. The median time between initial venous port implantation and port migration was 35.4 days (range, 7 to 135 days) and 71.4% (5/7) of patients had port migration within 30 days after initial port implantation. Conclusions: Male sex and lung cancer are risk factors for venous port migration. The type of venous port is also an important risk factor. Keywords: Venous port, Migration
Background Venous port implantation is widely used for the safe delivery of systemic chemotherapy in patients with cancer. However, various complications have been documented and the total complication rate ranges from 0.4% to 29% [1-6]. Catheter migration is a rare complication with an unknown cause that occurs in about 0.9 to 2% of patients [3,5,7,8]. It can lead to side effects such as pain in the neck, shoulder, or ear, venous thrombosis [9-12], and even life-threatening neurologic problems [13-15]. Because of * Correspondence: [email protected] † Equal contributors 2 Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 68 ChungHwa 3rd Road, Cianjin District, Kaohsiung City 80145, Taiwan 4 School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan Full list of author information is available at the end of the article
its rarity, very few studies have been published that extensively tackled venous catheter migration [3,7]. This retrospective study is an investigation of venous port migration in a hospital in Taiwan. Related literature is also revie
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