title: Port catheter placement by nephrologists in an interventional nephrology training program.
abstract: We retrospectively reviewed all subcutaneous single- and double-lumen port catheters (PCs) inserted by interventional nephrologists at our institution to determine the success rate, immediate and late complications, and functional life. From January 2000 to August 2002, 187 PCs were placed in 187 patients (42% males, 51% Caucasians, mean age 50 +/- 14 years). There were no immediate complications related to the procedure such as hemorrhage, pulmonary embolism, or pneumothorax. There were a total of 35,078 catheter-days of follow-up. Sixteen catheters were removed during the observation period: three because of infection, seven after completion of chemotherapy, and six for other reasons. The remaining PCs are either functioning or the patients have died. The initial success rate was 100%. Kaplan-Meier analysis showed a 30-day survival of 97% and a 1-year survival of 92%. Interventional nephrologists, who have adequate training in central venous tunneled cuffed catheter placements, can successfully place PCs, with excellent success and minimal complications.
authors.affiliation: Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71103, USa. aperve@lsuhsc.edu
authors.forename: Aslam
authors.initials: A
authors.lastname: Pervez
authors.forename: Fahim
authors.initials: F
authors.lastname: Zaman
authors.forename: Asim
authors.initials: A
authors.lastname: Aslam
authors.forename: Suzie
authors.initials: S
authors.lastname: Petty
authors.forename: Sara
authors.initials: S
authors.lastname: Murphy
authors.forename: Tushar
authors.initials: T
authors.lastname: Vachharajani
authors.forename: Kenneth
authors.initials: K
authors.lastname: Abreo
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009398:Nephrology / Q000193:education*; D012189:Retrospective Studies