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https://doi.org/10.14300/mnnc.2020.15113

Experience of using totally implantable venous access devices in patients with hemoblastosis

[Original research]
Alexey V. Lyanguzov; Svetlana Leonidovna Kalinina; Olga Sergunina; Sergey Viktorovich Ignatiev; Maxim Razin;

Chemotherapy and adjuvant treatment in haemato-oncology is impossible without providing central venous access. Durable access to the central vein is necessary to reduce the number of complications of repeated catheterization with longterm programmed treatment. The use of fully implantable venous port systems for this purpose improves the quality of life of the patients. Data analysis was carried out in 149 patients with hematological malignancies, who received fully implantable venous port systems. Perioperative complications developed in 7 (4.7 %) patients. The period of use of port systems averaged 638 catheter-days. Infectious complications were detected in 0.12 cases per 1000 catheter-days and caused the removal of the device in 7 (4.7 %) patients. In 5 (3.3 %) patients, port systems were removed due to the development of thrombotic complications, and in 5 (3.3 %) persons complications of a mechanical nature were the reason for the removal. The study showed that the use of venous port systems in patients with hemoblastosis for a long period of time is an effective and safe means of providing central venous access.

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Keywords: haemato-oncology, chemotherapy, central venous access, fully implantable device, catheter-related complications