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395690

Comparative Study between Portacath Placement in the Central or Peripheral Veins for Chemotherapy

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Surgery

Abstract

Background: The conventional approach for central peripheral intravenous catheter [PaC] insertion involves the utilization of a central vein, such as the internal jugular or subclavian vein, often necessitating the administration of a general anesthesia.
Aim of the study: This work aimed to evaluate the safety and convenience of peripherally placed Portacath catheters in comparison to central venous catheters for the administration of chemotherapy in cancer patients.
Patients and Methods: A randomized controlled trial included 50 cancer patients at Al-Hussein and Sayed Galal University Hospitals and Menoufia University Hospital, during the period spanning from July 2023 to April 2024. Participants were assigned to group A consisted of 25 patients who required the insertion of a central vein Portacath catheter through the internal jugular veins using a Portacath 8:10 f and group B comprised 25 patients who required the insertion of a peripheral vein Portacath through the basilic veins, utilizing a Portacath 3:5 f. 
Results: Group A and B exhibited statistically significant disparity in regarding local infection, skin condition, and wound healing outcomes [p<0.05]. All individuals included in the study exhibited normal X-rays and free Doppler evaluations. A substantial statistical difference was seen between groups A and B in terms of hematoma at the access location and arterial puncture [p<0.05]. A statistically significant disparity was seen between group A and group B concerning various dimensions of comfort, anxiety induced by the device, disruption in daily activities, and overall satisfaction score [p<0.05].
Conclusion: The jugular Portacath and basilic Portacath techniques were both safe and effective for central venous catheterization while administering chemotherapy. Furthermore, port catheters offer optimal vascular access for those diagnosed with cancer, hence enhancing their overall quality of life.

DOI

10.21608/ijma.2024.315470.2025

Keywords

central catheters, internal jugular vein, Peripheral inserted Portacath, Postoperative complications

Authors

First Name

Ramy

Last Name

Mohamed Abd El- Rahman Al-meshlawey

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Menoufia University, Shebeen Elkom, Menoufia, Egypt.

Email

ramyalmeshlawey@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Abd El-Hamid Abd El-Rahman

MiddleName

-

Affiliation

Department of Vascular Surgery, Faculty of Medicine, Al- Azhar University, Cairo, Egypt.

Email

profmaabderrahamn@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Hamza Hamed

MiddleName

-

Affiliation

Department of Vascular Surgery, Faculty of Medicine, Al- Azhar University, Cairo, Egypt.

Email

dr.hamza2345@gmail.com

City

-

Orcid

-

Volume

6

Article Issue

11

Related Issue

52126

Issue Date

2024-11-01

Receive Date

2024-08-25

Publish Date

2024-11-01

Page Start

5,106

Page End

5,115

Print ISSN

2636-4174

Online ISSN

2682-3780

Link

https://ijma.journals.ekb.eg/article_395690.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=395690

Order

10

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparative Study between Portacath Placement in the Central or Peripheral Veins for Chemotherapy

Details

Type

Article

Created At

24 Dec 2024