title: Complications of chemoport in children with cancer: Experience of 54,100 catheter days from a tertiary cancer center of Southern India.
abstract: BACKGROUND
  Chemoport is an essential part of the management of children with cancer and provides long-term venous access. There are few studies from resource poor countries reporting complications of chemoport.
  
  
  OBJECTIVE
  This study was aimed at describing the complications of chemoport in patients with cancer.
  
  
  METHODS
  This retrospective observational study analyzed 200 patients <15 years of age who underwent chemoport insertion. The medical records of these patients were reviewed for the patient characteristics, diagnosis, nature of port use, port-related complications and their management.
  
  
  RESULTS
  A total of 209 ports were implanted in 200 patients and 24 ports were removed due to port-related complications. There were 122 boys and 78 girls whose ages ranged from 4 months to 13 years (median age 2.5 years). About72% of patients were <2 years old. The cumulative duration of catheterization was 54,100 days. Of 209 ports, there were 36 complications that led to the removal of 21 ports. Port-related infection was the most common infection observed in our study (0.66/1000 catheter days and 11.9%). Mechanical complications were seen in 9 patients. Venous thrombosis and skin necrosis occurred in one patient each.
  
  
  CONCLUSIONS
  Use of chemoport is safe and is a boon for children with cancer in developing countries with incidence of complications similar to Western countries. Although use of chemoport is associated with complications, they are easily managed. With stringent catheter care by trained personnel, some complications can be prevented.
authors.affiliation: Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India.
authors.forename: S
authors.initials: S
authors.lastname: Aparna
authors.affiliation: Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: S
authors.initials: S
authors.lastname: Ramesh
authors.affiliation: Department of Pediatric Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India.
authors.forename: L
authors.initials: L
authors.lastname: Appaji
authors.affiliation: Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India.
authors.forename: Kavitha
authors.initials: K
authors.lastname: Srivatsa
authors.affiliation: Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: Gowri
authors.initials: G
authors.lastname: Shankar
authors.affiliation: Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: Vinay
authors.initials: V
authors.lastname: Jadhav
authors.affiliation: Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: Narendra
authors.initials: N
authors.lastname: Babu
keywords: Bloodstream infection; chemoport; implantable venous access device; internal jugular vein