title: Percutaneous image-guided implantation of totally implantable venous access ports in the forearm or the chest? A patients' point of view.
abstract: OBJECTIVE
  This study aimed to compare patients' satisfaction and impact on daily life after implantation of totally implantable venous access ports (TIVAP) in the forearm and the chest.
  
  
  METHODS
  In this prospective study, 50 patients (mean age, 55.8 ± 15.4 years) received three questionnaires on days 1, 30, and 90 after implantation in the forearm (n = 25) or the chest (n = 25). Knowledge concerning device function, comfort perception, and impact of TIVAP on daily activities were evaluated. Ratings were dichotomized depending on whether statements were agreed with or contradicted. Fisher's exact test was used to determine differences between the forearm port (FP) and chest port (CP) groups.
  
  
  RESULTS
  There was no significant difference between the two groups with regard to unpleasant feelings (p = 0.09) and discomfort while puncturing (p = 0.06). Main fears in both groups were dysfunction and infection. The possibility of high-pressure injections via the TIVAP was rated important in both groups. More CP patients feared dislocation of their TIVAP during sleep (p < 0.05). CP patients experienced more negative perceptions while driving a car and wearing brassieres (p < 0.05) than FP patients. All patients would recommend their device.
  
  
  CONCLUSIONS
  During certain activities, the FP device seems to be favorable, since it causes less discomfort than the CP.
authors: Institute of Radiology, Julius-Maximilians-Universität Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Germany. Goltz@roentgen.uni-wuerzburg.de
authors: Jan Peter
authors: JP
authors: Goltz
authors: Bernhard
authors: B
authors: Petritsch
authors: Johannes
authors: J
authors: Kirchner
authors: Dietbert
authors: D
authors: Hahn
authors: Ralph
authors: R
authors: Kickuth
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005542:Forearm; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011446:Prospective Studies; D011788:Quality of Life; D015642:Radiology, Interventional; D011795:Surveys and Questionnaires; D013909:Thorax; D062666:Vascular Access Devices / Q000009:adverse effects; D055815:Young Adult