Port
(Condition treated: Chemotherapy, long term infusion therapy)
What is a portacath and why have I been referred to have one inserted?
A portacath or port is an implanted device that facilitates administration of medications directly to the large (central) veins of your body. This allows drugs to be given safely, reliably and with minimal injury to your venous system. The portacath is made of two components: a reservoir through which nurses may access the port and the catheter, a plastic tube which delivers drugs precisely where they need to go. A short video outlining what a port is can be found here.
What are my other options?
Other options include peripheral chemotherapy or other devices such as a PICC line. These are not always viable options. Using peripheral cannulas for example is often impractical as peripheral veins tend to become increasingly difficult to access as chemotherapy commences which may mean multiple attempts at access or rescheduling chemotherapy in cases where IV access cannot be obtained. You may discuss the alternatives with your oncologist or chemotherapy nurse.
Is the procedure uncomfortable?
The procedure generally well tolerated and is routinely performed with a combination of local anaesthetic and sedation. Particularly anxious patients may request an anaesthetist.
How is a port inserted?
Venous access is via ultrasound which, in experienced hands is more reliable than palpation or direct visualisation. Specialized x-ray (angiography) equipment ensures accurate and reliable placement of the catheter while the reservoir is buried under the skin via a small incision. The procedure takes approximately 20 minutes and is generally very well tolerated.
Can I choose between an arm and chest port?
Ports may be inserted so that the reservoir is located in the arm or upper chest. Each offers unique advantages and it is best to discuss this with your oncologist and chemotherapy nursing team to come up with a solution that best fits your medical condition and personal preferences.
How will a port insertion affect my lifestyle?
Most patients do not notice the presence of a port as they go about their day to day activities. It is designed to allow you to enjoy your life with as few restrictions as possible.
