1Abeer Faisal Aldhawi,2Mohammed Altolub, 3Mohammed Altolub, 3Weal H. Almaghthawi, 3Mohammed Alshlyyel

1King Fahd Medical City, 2king Khalid Hospital, 3Prince Sultan Military Medical City

Background:

Summery: Implantable central venous access ports (ICVAPs) are used commonly in current medical practice for long-term central venous access for a variety of reasons. Several studies are evaluating the safety and the complication rate after inserting the device. Our study was done in a single centre focusing on evaluating the outcome after inserting the port Cath by an interventional radiologist in a pediatric population.

Objective: The current study aims to report our early experience in image-guided percutaneous implanted central venous port systems insertions by interventional radiologists regarding the safety, applicability, and complication rate.

Material(s) and Method(s):

Records based retrospective chart reviewing study will be conducted in Prince Sultan Military Medical City in Riyadh, Saudi Arabia, from the period of July 2014 to December 2020 conducted at the interventional Radiology department of prince sultan military medical city in Riyadh city utilizing hospital electronic medical record system and PACS for all pediatric patients (0 – 14 years) underwent chest porta catheter. A total of 35 pediatric patients met inclusion and exclusion criteria’s.

Data analysis: After data were extracted, it was revised, coded, and fed to statistical software IBM SPSS version 22(SPSS, Inc. Chicago, IL).  All statistical analysis was done using two-tailed tests. P-value less than 0.05 was statistically significant. Descriptive analysis based on the frequency and per cent distribution was done for all variables including children’s data, clinical diagnosis, indications for ICVAPs, site of the catheter, size of caterer and associated complications. Crosstabulation was used to assess the distribution of children who experienced catheter-related complications by their bio-demographic data. Relations were tested using the Pearson chi-square test and exact probability test for small frequency distributions.

Result(s):

A total of 35 children fulfilling the inclusion criteria were included. Children ages ranged from 4 months to 14 years with a mean age of 6.3 ± 4.0 years old.  Exact of 21 (60%) children were males

As for diagnosis, 6 children (17.1%) had ALL followed by 5 (14.3%) had Neuroblastoma.

Regarding indications of ICVAPs, it was inserted for chemotherapy among 28 (80%) children and Regular exchange transfusion among 7 (20%) children, most lines were inserted in the Internal jugular vein among 33 (94.3%), most of them was the size of 6.6 F among 18 (51.4%) children.

Only 3 (8.6%) children experienced redness and swelling at the catheter site, the three children had minor complications where the line was removed with antibiotics were given for all.

Conclusion(s):

PACs can be safely and accurately placed under imaging guidance using  percutaneous puncture of  vein without major complication.