A chemo port (also known as a chemotherapy port or port-a-cath) is a small, implantable medical device used to deliver medications, such as chemotherapy drugs, directly into the bloodstream. It is typically placed under the skin, often in the upper chest, and connected to a vein via a thin, flexible tube called a catheter. This device is designed to make repeated treatments, blood draws, and infusions more comfortable and efficient for patients undergoing long-term therapies, such as chemotherapy.
Design and Components:
Port: The main part of the device, usually circular, triangular, or oval-shaped, made of biocompatible materials like titanium or plastic. It has a silicone septum for needle insertion.
Catheter: A thin, flexible tube that connects the port to a large vein, often the jugular or subclavian vein.
Types: Single-lumen (one access point) or double-lumen (two access points) ports are available, depending on the patient's needs1.
How It Works:
Healthcare providers insert a special needle through the skin into the port's septum to administer medications or draw blood. The catheter then delivers the substances directly into the bloodstream.
Benefits:
Comfort: Reduces the need for repeated needle sticks, making treatments less painful.
Safety: Minimizes the risk of tissue damage or extravasation (leakage of drugs into surrounding tissues).
Convenience: Once healed, the port is completely under the skin, allowing patients to swim, bathe, and engage in most daily activities without restrictions14.
Placement Procedure:
The port is implanted during a minor surgical procedure, usually under local anesthesia. The surgeon makes small incisions to place the port and thread the catheter into a vein. The procedure typically takes about an hour and is performed on an outpatient basis1.
Risks and Complications:
Common risks include infection, thrombosis (blood clots), and mechanical issues like catheter displacement. Rare complications include catheter fracture or migration, which may require surgical intervention.
Recovery and Maintenance:
After placement, patients may experience mild soreness but can usually resume normal activities within a few days. The port requires regular flushing with saline and heparin to prevent blockages and infections.
Longevity:
A chemo port can remain in place for weeks, months, or even years, depending on the patient's treatment needs. It can be removed when no longer required1.
Chemo ports are commonly used for:
Chemotherapy administration.
Frequent blood draws.
Long-term intravenous therapies, such as antibiotics or parenteral nutrition.
A chemo port is a valuable tool for patients undergoing long-term medical treatments, offering a safer, more comfortable, and efficient way to administer medications and perform blood draws. While it carries some risks, the benefits often outweigh the potential complications, making it a preferred option for many patients and healthcare providers