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Ege Journal of Medicine
2018, Cilt 57, Sayı 4, Sayfa(lar) 232-237
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Reasons for removal of central venous ports: Experience with 154 consecutive patients
Fatih Uzunkaya1, Ayşegül İdil Soylu1, Ümit Belet1, Özlem Terzi2, Hüseyin Akan1
1Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Samsun, Türkiye
2Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Samsun, Türkiye
Keywords: Central venous port, interventional radiology, cancer, infection

Aim: The aim of this study is to determine the frequency of reasons for port removal in a single center, to identify the risk factors associated with port-related infection and the factors that affect the patency period of the ports.

Materials and Methods: 154 patients with port removal from January 2005 to May 2017 were included in the study. The characteristics of these patients, their clinical diagnoses, reasons for port removal, microbiological data and patency periods were retrospectively investigated. The Chi-square test was used to compare the risk factors associated with port-related infection, and the Mann-Whitney U test was used to compare the factors affecting the patency period.

Results: 51.3% of the patients were female, 48.7% were male (mean age 55.1±15). The most frequent (53.2%) reason for port removal was found to be infection. It was determined that gender, age, malignancy type and having digestive tract cancer did not affect the infection frequency significantly. The most common pathogen (20.9%) was found to be Staphylococcus aureus in the cultures of infected patients. It was found that gender, age, malignancy type and having digestive tract cancer did not significantly affect the patency period of the ports, however, infection significantly shortened this period.

Conclusion: Ports are removed due to infection in more than half of the patients with cancer. Infection significantly shortens the patency period of ports.


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