Zagorulko Alexey I. (PhD, MD, Head of the Department of X-ray Endovascular Methods of Diagnosis and Treatment No. 2 of the Branch of the Oncology Center No. 1 of the S. S. Yudin City Clinical Hospital of the Healthcare Department of Moscow)
Nistratov Grigory P. (PhD, MD, doctor of the Russian Academy of Medical Sciences, Department of X-ray Endovascular Methods of Diagnosis and Treatment No. 2 of the Branch of the Oncology Center No. 1 of the S. S. Yudin City Clinical Hospital of the Healthcare Department of Moscow)
Golubcov Andrey K. (PhD, MD, Head of the Oncological Department (head and neck tumors) Federal State Budgetary Scientific Institution "Russian Scientific Center of Surgery named after Academician B.V. Petrovsky", Moscow, Russia. )
Kozlov D. ()
Koledinskiy Anton G. (PhD, MD, Head at the Department of Cardiology, endovascular surgery and hybrid methods of diagnosis and treatment at the medical institute of the RUDN University, endovascular surgery, Moscow, Russia)
Rykov Stanislav P. (doctor at the Department of X-ray Endovascular Methods of Diagnosis and Treatment No. 2 of the Branch of the Oncology Center No. 1 of the S. S. Yudin City Clinical Hospital of the Healthcare Department of Moscow)
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Introduction. Treatment of oncological diseases requires the use of many drugs. In modern oncological practice, long-term infusions of chemotherapy drugs are carried out through implantable venous systems. In order to describe the technical features, indications and possible complications, an analysis of 2510 patients who underwent implantation of a venous port system was performed.
Objective. To evaluate the technique of implantation of port systems, as well as possible complications.
Material and methods. An analysis of 2510 patients with malignant neoplasms who underwent implantation of subcutaneous port systems from January 2022 to August 2024 was performed.
Results. A significant proportion of patients requiring long-term treatment and port systems are patients with gastrointestinal tumors - 55.06%. In all examined patients, 100% of cases involved the vein puncture method, ultrasound navigation and intraoperative X-ray control of the catheter position. Access through the left subclavian vein was absent, right subclavian access was noted in 72 cases (2.9%), right internal jugular access 2217 (88.3%), left internal jugular in 221 cases (8.8%). Complications were detected in 188 patients (7.5%), including early - 49 (2%) and late - 139 (5.5%). Port system removal was required in 214 (8.5%) patients, where the main reasons were infection (port system chambers), end of treatment, port system thrombosis and/or catheter-associated thrombosis, severe pain syndrome (VAS scale 4-6 points), etc.
Conclusion. The effectiveness of subcutaneous port systems, the main causes of complications and methods for their elimination were demonstrated in a large sample of patients. In general, the port system is safe and convenient for long-term intravenous treatment.
Keywords:Central vein, angiographic apparatus, port.
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Citation link:
Zagorulko A. I., Nistratov G. P., Golubcov A. K., Kozlov D. , Koledinskiy A. G., Rykov S. P. ANALYSIS OF THE EFFECTIVENESS AND SAFETY OF IMPLANTABLE PORT SYSTEMS INSTALLED UNDER ULTRASOUND AND RADIOGRAPHIC NAVIGATION // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№05. -С. 210-218 DOI 10.37882/2223-2966.2025.05.14 |
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