Complications of Port-A-Cath using for chemotherapy, drugs and fluid administration in Mosul city
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Sociedad Venezolana de Farmacología Clínica y Terapéutica
2021
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| _version_ | 1876446718217682944 |
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| author | Fawaz Mahmood Mustafa Al-Faqe |
| author_facet | Fawaz Mahmood Mustafa Al-Faqe |
| contents | Complications of Port-A-Cath using for chemotherapy, drugs and fluid administration in Mosul city Fawaz Mahmood Mustafa Al-Faqe Alya Abdulaziz Al Zobair Bassam Ismael Jasim Alzuhairy Medicina Portacath Chemotherapy venous access cancer therapy Background:Port-A-Cath PAC has been increasingly used in cancer patients undergoing long term chemotherapy, however, no previous study has been done in Mosul for verifying its associated complications with chemotherapy administration. Patients and methods: This is a prospective, observational study that evaluated early and late complications and efficacy of US-guided puncture of the right internal jugular vein (RIJV) for PAC placement. It was conducted on patients who were diagnosed and treated in Mosul Oncology Hospitals in the period from Nov. 2017 to Nov. 2019 and had PAC for chemotherapy, drugs, blood and fluid administration. 93 patients were included in this study and followed up for at least 8 months. Results: Of the 93 included patients, there were 50 (53.7%) male and 43 (46.2%) female patients. Their mean age was 51, with a range from 17-80 years. Early complications were found in 14 (15 %) patients and late complications were found in 13 (13.9%) patients. No pneumothorax complication was reported in our study. Mal-position was occurred in 4 patients who underwent implantation without screening. Pulmonary embolism was never found. Wound bleeding was developed in 3 patients. The accidental arterial puncture occurred in 6 patients for whom PAC was inserted without US guidance and managed simply by direct pressure without surgical intervention. Thrombosis was developed in 3 patients that required anticoagulant therapy, mild and superficial wound infection occur in 7 patients. Conclusion: According to our data, it is safe and cost-effective to use PCA in our patients for their psychological satisfaction and prevention of peripheral vein complications and difficulties in getting venous access. In addition, the port can be used in different ways like antibiotic injections, blood transfusion, fluid administration together with the chemotherapy. 2021 artículo científico 0798-0264 https://www.redalyc.org/articulo.oa?id=55971452008 https://www.redalyc.org/journal/559/55971452008/ https://www.redalyc.org/journal/559/55971452008/html/ https://www.redalyc.org/journal/559/55971452008/55971452008.epub https://www.redalyc.org/journal/559/55971452008/movil https://doi.org/10.5281/zenodo.5225126 en http://www.redalyc.org/revista.oa?id=559 Archivos Venezolanos de Farmacología y Terapéutica application/pdf Sociedad Venezolana de Farmacología Clínica y Terapéutica Archivos Venezolanos de Farmacología y Terapéutica (República Bolivariana de Venezuela) Num.4 Vol.40 |
| format | Artículo científico |
| id | redalyc_55971452008 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Sociedad Venezolana de Farmacología Clínica y Terapéutica |
| spellingShingle | Complications of Port-A-Cath using for chemotherapy, drugs and fluid administration in Mosul city Fawaz Mahmood Mustafa Al-Faqe Medicina Portacath Chemotherapy venous access cancer therapy Complications of Port-A-Cath using for chemotherapy, drugs and fluid administration in Mosul city Fawaz Mahmood Mustafa Al-Faqe Alya Abdulaziz Al Zobair Bassam Ismael Jasim Alzuhairy Medicina Portacath Chemotherapy venous access cancer therapy Background:Port-A-Cath PAC has been increasingly used in cancer patients undergoing long term chemotherapy, however, no previous study has been done in Mosul for verifying its associated complications with chemotherapy administration. Patients and methods: This is a prospective, observational study that evaluated early and late complications and efficacy of US-guided puncture of the right internal jugular vein (RIJV) for PAC placement. It was conducted on patients who were diagnosed and treated in Mosul Oncology Hospitals in the period from Nov. 2017 to Nov. 2019 and had PAC for chemotherapy, drugs, blood and fluid administration. 93 patients were included in this study and followed up for at least 8 months. Results: Of the 93 included patients, there were 50 (53.7%) male and 43 (46.2%) female patients. Their mean age was 51, with a range from 17-80 years. Early complications were found in 14 (15 %) patients and late complications were found in 13 (13.9%) patients. No pneumothorax complication was reported in our study. Mal-position was occurred in 4 patients who underwent implantation without screening. Pulmonary embolism was never found. Wound bleeding was developed in 3 patients. The accidental arterial puncture occurred in 6 patients for whom PAC was inserted without US guidance and managed simply by direct pressure without surgical intervention. Thrombosis was developed in 3 patients that required anticoagulant therapy, mild and superficial wound infection occur in 7 patients. Conclusion: According to our data, it is safe and cost-effective to use PCA in our patients for their psychological satisfaction and prevention of peripheral vein complications and difficulties in getting venous access. In addition, the port can be used in different ways like antibiotic injections, blood transfusion, fluid administration together with the chemotherapy. 2021 artículo científico 0798-0264 https://www.redalyc.org/articulo.oa?id=55971452008 https://www.redalyc.org/journal/559/55971452008/ https://www.redalyc.org/journal/559/55971452008/html/ https://www.redalyc.org/journal/559/55971452008/55971452008.epub https://www.redalyc.org/journal/559/55971452008/movil https://doi.org/10.5281/zenodo.5225126 en http://www.redalyc.org/revista.oa?id=559 Archivos Venezolanos de Farmacología y Terapéutica application/pdf Sociedad Venezolana de Farmacología Clínica y Terapéutica Archivos Venezolanos de Farmacología y Terapéutica (República Bolivariana de Venezuela) Num.4 Vol.40 |
| title | Complications of Port-A-Cath using for chemotherapy, drugs and fluid administration in Mosul city |
| topic | Medicina Portacath Chemotherapy venous access cancer therapy |
| url | https://www.redalyc.org/articulo.oa?id=55971452008 https://www.redalyc.org/journal/559/55971452008/ https://www.redalyc.org/journal/559/55971452008/html/ https://www.redalyc.org/journal/559/55971452008/55971452008.epub https://www.redalyc.org/journal/559/55971452008/movil https://doi.org/10.5281/zenodo.5225126 |