Patient side port
Port systems from different manufacturers differ in price for the same function - the doctor issues a specification (type of port, catheter, Huber needle), the patient purchases the kit directly. The technique is standard: puncture of the jugular/subclavian vein under ultrasound, tunneling of the catheter, pocket for the reservoir on the fascia of the pectoral muscle, x-ray positioning, verification by aspiration and irrigation. The savings can be significant; the quality of implantation does not differ from the “full” version.
Indications
- chemotherapy - multi-month courses with preservation of veins;
- long-term infusion therapy, parenteral nutrition, frequent blood sampling;
- “bad” peripheral veins, phlebitis from drugs;
- the need for multiple contrast studies.
Catheter or port
CVC - quick access for the hospital stage (week); port system - a reservoir with a membrane implanted under the skin for many months of outpatient treatment: invisible, does not interfere with showering and swimming, can be punctured with a special needle in seconds, and lasts for years. For chemotherapy, the port is the standard of care for the patient: the veins of the arms are preserved, irritating drugs enter the central bloodstream safely, and the risk of extravasation is minimal. Outpatient installation under ultrasound/X-ray control.