Port-a-cath: What is it and how does it work?

In the fight against cancer, intravenous treatment plays a crucial role. For patients who require long-term administration of chemotherapy, antibiotics or other medications, a port-a-cath can provide a safe, comfortable and effective solution.

The Elytis Hospital, we are dedicated to providing our patients with access to the most advanced therapeutic options, including implantation and port-a-cath care. Our multidisciplinary team of specialists work together to create personalized treatment plans tailored to each patient's individual needs.

This article will guide you through the essential information about this medical device, explaining what it is, how it works, the associated benefits and risks, and how to care for it.

What is a port-a-cath?

A port-a-cath, also known as an implantable camera, is a small, rounded medical device made of biocompatible materials such as titanium or plastic. It is implanted under the skin, usually in the chest or arm area, and is connected to a central vein via a thin catheter.

How does a port-a-cath work?

The Port-a-cath allows repeated access to the central venous system without the need for repeated puncturing of the veins. Medications, fluids or blood products can be administered directly into the port through a special needle that pierces the skin and the port membrane. From there, the administered substances reach the central vein and are distributed throughout the body.

When is it recommended?

A port-a-cath is recommended for patients who require:

• Long-term administration of intravenous medications: chemotherapy, antibiotics, total parenteral nutrition (TPN), fluid therapy.
• Frequent administration of blood or blood products: transfusions.
• Frequent blood sampling for analysis.
• Difficult venous access: in patients with fragile or difficult-to-access veins.

Benefits

• Increased comfort: eliminates the need for repeated punctures in veins, reducing patient pain and discomfort.
• Safe and stable venous access: reduces the risk of infection, phlebitis (inflammation of the veins) or extravasation (leakage of medication out of the vein).
• Freedom of movement: patients with port-a-cath can carry out normal activities, such as showering or swimming, without restrictions.
• Durability: the device can remain implanted for many years if properly cared for.

Risks and complications

Although device implantation is a safe procedure, there are certain risks and potential complications, such as:

• Infection: Infection at the site of implantation or around the catheter.
• Thrombosis: The formation of a blood clot in a catheter or central vein.
• Pneumothorax: Perforation of the lung during the implantation procedure.
• Moving the catheter: The catheter may move from its original position.
• Catheter blockage: The catheter can become blocked with blood clots or medication.

Caring for a port-a-cath

To prevent complications and maintain the functionality of the device, proper care is important:

• Keep the implant site clean and dry: Wash the area with soap and water daily and cover it with a sterile dressing.
• Avoid trauma to the implant site: Do not rub or hit the area.
• Keep your check-up appointments at Elytis Hospital: your doctor will regularly check the condition of your device and perform heparinization (injecting a substance that prevents blood clots) if necessary.

Elytis Hospital: comprehensive care and easy access to treatment

The Elytis Hospital, you benefit from the expertise of a multidisciplinary team of specialists in device implantation and care. The implantation procedure is performed in a safe and comfortable environment, with the highest quality standards.

Our services include:

• Specialist consultations: assessing the need for a port-a-cath and discussing treatment options.
• Implantation: minimally invasive procedure performed by experienced doctors.
• Care: regular heparinization, monitoring and treatment of complications.

The Elytis Hospitalwe are dedicated to your health, offering quality medical services based on professionalism, empathy and an individualized approach!

Latest medical review:

20.01.2025, Dr. Ionela Miron-Amarghioalei – Medic Specialist Oncologie