Treatment FAQ

what is a port in cancer treatment

by Dr. Liana Kohler Published 3 years ago Updated 2 years ago
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A device used to draw blood and give treatments, including intravenous fluids, blood transfusions, or drugs such as chemotherapy and antibiotics. The port is placed under the skin, usually in the right side of the chest.

Full Answer

How port can make cancer treatments easier?

Your team can use a port to:

  • Reduce the number of needle sticks.
  • Give treatments that last longer than 1 day. The needle can stay in the port for several days.
  • Give more than 1 medication at a time through a double port.
  • Do blood tests and give chemotherapy the same day with 1 needle stick.

What is an implanted port for cancer treatment?

Types of implanted ports include:

  • Single lumen: This port has one access point (septum). It is the most common type.
  • Double lumen: This triangular-shaped port has two access points to a vein. Two ports are helpful if you need to get more than one medication at the same time.
  • Power-injectable: Many single- and double-lumen ports are power-injectable. ...

How is a port for chemo inserted?

You will need:

  • A Port Access Kit (sterile gloves, CHG cleanser, central line dressing kit, skin protectant)
  • A Biopatch (or disc impregnated with CHG)
  • Masks for yourself and the patient
  • Needless Connector
  • A 90 degree, Non-Coring Port needle (also called a Huber needle) or PowerLoc needle for PowerPort
  • Sterile Normal Saline flush syringe

What are common treatments for cancer?

What else you can do to help reduce your cancer risk

  • Stay away from tobacco.
  • Get to and stay at a healthy weight.
  • Get moving with regular physical activity.
  • Follow a healthy eating pattern that includes plenty of fruits, vegetables, and whole grains, and that limits or avoids red/processed meats, and highly processed foods.
  • It’s best not to drink alcohol. ...
  • Protect your skin.

More items...

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How painful is a chemo port?

3. Does it hurt? Not typically, but when it is accessed for chemo or a blood draw, the initial poke does sting a bit (similar to an IV poke in your arm). Over-the-counter or doctor-prescribed numbing creams can help ease the discomfort.

How long does a cancer port stay in?

Ports can remain in place for weeks, months, or years. Your team can use a port to: Reduce the number of needle sticks. Give treatments that last longer than 1 day.

How long does it take to put a port in for chemo?

You lie on a procedure table and stay awake while the port is put in. This usually takes about 30 to 45 minutes. A local anesthetic is injected into your chest area.

How do they put a port in for chemo?

The port will be put under the skin. The catheter attached to the port will be tunnelled under your skin to the smaller incision, where it will be put into a vein in your chest. The incisions are then stitched up. You will have a chest x-ray to make sure the port is in the right place.

Can you shower with a port?

For most people, a port's pretty simple to live with. Once your incision heals, you can shower, swim, and do anything else you feel up to doing. You don't need a bandage on your port when you're not using it, and there's no dressing to change.

Is a port better for chemo?

Why Do You Need an Implantable Port? If you're getting chemotherapy for cancer, or other medications, it's easier for the doctor to give you medication or IV fluids through a port. Otherwise, you'd need regular shots or needle sticks in your veins. The port is less painful and lowers your risk of infection, too.

Does a chemo port go into your heart?

Also called port-a-cath. Port-a-cath (Port). A port-a-cath is a device that is usually placed under the skin in the right side of the chest. It is attached to a catheter (a thin, flexible tube) that is threaded into a large vein above the right side of the heart called the superior vena cava.

How do you sleep comfortably with a port?

If your port is on the right side of your chest, sleep on your left side, or vice versa. You'll want to avoid sleeping on your stomach, at least at first, since you might feel pain at the port site. Try not to sleep with your arm raised on the side of your body that has the port since that could pull on the port.

Are you put to sleep for a port placement?

Will I be put to sleep (under anesthesia) during the procedure? No. The port placement procedure is a minimally invasive procedure. You will only receive local anesthesia with some sedation and pain control medication if you need it during the procedure.

How often does a port need to be flushed?

It is routine practice to flush ports every four to six weeks, according to the manufacturer's recommendations, using salt solution followed heparin if needed.

What is the difference between a PICC line and a port?

PICCs are used for short-term delivery of IV medications, usually over weeks. Ports are used for longer-term delivery of IV medications, usually over months or often years. Although PICCs and ports have many similarities, if you need IV antibiotics to treat an exacerbation, you will likely get a PICC line placed.

What vein does a port go into?

Also called port. Port-a-cath (Port). A port-a-cath is a device that is usually placed under the skin in the right side of the chest. It is attached to a catheter (a thin, flexible tube) that is threaded into a large vein above the right side of the heart called the superior vena cava.

What is the procedure to put a port in?

A surgeon or radiologist puts in a port. This is usually done with local anesthesia or conscious sedation. The entire catheter goes under the skin of your chest or upper arm. To give treatment with a port, your nurse may first numb the skin with cream. Then, your nurse cleans the skin and puts a needle into the port.

How long can a needle stay in a port?

Give treatments that last longer than 1 day. The needle can stay in the port for several days. Give more than 1 medication at a time through a double port. Do blood tests and give chemotherapy the same day with 1 needle stick.

How long does an IV catheter stay in?

You get a new IV each time you have treatment. Sometimes the catheter can stay in for 2 or 3 days if it is safely in your vein and not painful. Peripherally inserted central catheter (PICC). This is usually called a PICC ("pick") line.

What is the name of the catheter that is put in the body?

Where and how the catheter is put in your body depends on the type of catheter. The different types of catheters are: IV catheter. Treatments that are given in a vein are often given through a catheter with a small needle. This is called an IV catheter or simply an "IV.".

Where does a PICC catheter go?

Or it might go into a neck vein. Like with the PICC line, the tip of the catheter goes into the vein and a few inches of the tube goes into your body.

Why is a catheter clamped?

A portion of the catheter may stay outside your body so it is easy to insert the medication into the catheter. When you are not getting treatment, the catheter is clamped or capped to keep it closed.

Where does the catheter tube stay?

The remainder of the catheter tube will remain outside the body at the chest or neck. You will receive a local anesthetic or conscious sedation when the catheter is put in. Conscious sedation is medication to help you relax and feel sleepy. Implantable port or port-a-cath. A surgeon or radiologist puts in a port.

Why do you need a port for chemo?

Some chemotherapy medications can only be given through a port because they are too caustic to be delivered into a peripheral vein. Beyond that, using a port is often easier than inserting an IV each time if you will be having several infusions of chemotherapy.

What happens if you have a port placed for chemo?

Many people who have a port placed for chemotherapy will develop a thrombosis, or blood clot, in the port or the catheter. This clot may cause the port to stop working, often creating the need for the port to be replaced. 5.

What is a port used for?

A port can be used to draw blood and infuse chemotherapy drugs. It can be used if you need transfusions of red blood cells or platelets. 1. Without a port or a PICC line, a new IV needle will need to be placed each time you have chemotherapy, and separate IV lines are needed if you require IV fluids or a blood transfusion.

Why does my port stop working?

A clot may form in the port or catheter, causing it to stop working. Many people who have a port placed for chemotherapy will develop a thrombosis (clot) in the catheter (often causing a need for the port to be replaced). 5 

What is the area where a nurse inserts a needle into a port?

During blood draws or chemotherapy infusions, a nurse will insert a needle into an area called the "septum, " a resealable rubber center on your port. Advantages. Greater comfort.

How many ports are there for chemo?

As with any surgical procedure, there are both advantages and disadvantages to having a chemotherapy port placed. Estimates suggest there are more than 5 million ports placed in the United States each year, so physicians are very familiar with the procedure and it has been well studied. 4. The benefits of having a chemotherapy port compared ...

How many needle sticks are needed for IV port?

A single needle stick is usually all that is needed to access your port. 1 With IV therapy and traditional blood draws, sometimes many needle sticks are needed to find a good vein, especially if your veins have been damaged from repeated blood draws and infusions.

Why do you need a port for chemo?

A chemotherapy port may be an option in this situation to make it easier to draw blood and get chemo drugs and IV fluids into your bloodstream. This article will go into more detail about what a chemotherapy port is, how it’s implanted, as well as the benefits and risks.

What is a chemo port?

What is a chemotherapy port and why is it needed? A chemotherapy port is a small disc or reservoir that can be made of plastic or metal, with a rubber seal at the top. A thin, soft, flexible tube, called a line or catheter, goes from this disc, which faces the outside of your body, directly into a large vein.

How do you give chemo through a port?

This is done with a special needle that goes into an access point within the port. The fluids or medications flow through the catheter and directly into a large vein. Blood can also be drawn this way.

How to remove a port?

To remove your port, your doctor will make a small incision in the area of the port and will remove the port as well as the catheter that leads to a vein. The incision will then be closed up, and you’ll follow the care instructions of your treatment team.

How long do port implantations stay in the body?

Ports can stay in the body for months or even years. But once your treatment is over and you don’t need your port anymore, your doctor will schedule an appointment to remove it. As with the implantation surgery, removing a port involves a short, outpatient procedure, that’s typically done with local anesthesia.

Why flush a port?

If your port isn’t used often, a nurse will need to flush it regularly to prevent blood clots and blockages.

Is a port for chemo safe?

As with most medical procedures or devices, a chemotherapy port does have some risks. These include: Taking good care of your port can help reduce the risk of infection and other complications. You can do this by: carefully following the directions regarding cleaning. changing any dressings after the port is implanted.

What is chemo port?

A chemo port gives health care workers one-stop access to your veins: They poke the port, not your skin. It offers all the benefits of treatment without the discomfort, and it reduces your risk of infection and skin irritation.

How long does it take to get a chemo port?

Your chemo port is implanted during an outpatient procedure, meaning that you don’t have to stay in a hospital for the procedure. It usually takes 30-45 minutes. Expect to be awake but medicated to help you relax.

What is a port in a needle?

The port is a quarter-sized plastic or metal disc. (If you have the metal kind, don’t worry: It won’t set off metal detectors). The middle part of the port, a rubber piece called the access site, holds the needle in place when you receive treatment, medication, or have blood drawn.

Why do you flush a port?

Flushing your port ensures blood or medicine doesn’t clog it up. Call your doctor if you have pain, swelling, or bruising at your port’s site; if pus or fluid is coming out of the opening in your skin where the port goes; or if that area looks irritated or feels tender or hot.

Do you need a bandage for a port?

You don’t need a bandage when the port isn’t in use, and you should treat the skin over it just like than the rest of your skin. If you don’t use your port for 4 weeks, it needs to be flushed. Only a health care worker can do this. Flushing your port ensures blood or medicine doesn’t clog it up.

Can you swim after chemo port?

In most cases, no, though it depends on the shape and tightness of your clothes. Caring for a Chemo Port. After your port is implanted and the area has healed, you can return to regular tasks and exercise, including swimming. Avoid contact sports that might damage your port.

What is a port a catheter?

But there are other aspects of treatment you may not have heard of, like a port-a-catheter (aka port-a-cath or port), which is a mechanism used to deliver medicines, nutrients, blood products, or fluids into your blood and to take blood out of your body for testing. The port is one of the most common types of central venous catheters.

Where is the port located?

quarter or Canadian loonie) that is placed underneath your skin, usually above your breast or below the collarbone, and is used to intravenously feed medication directly into a large vein and into the heart. It can also be used to withdraw blood as well.

What happens after chemo?

During your chemo session, after your IV is connected, the nurse will flush out the port lines before administering the chemo drugs . This is also the last thing that the nurse does after administering your chemo, before removing the IV. If your port hasn’t been accessed in about a month, you have to have it flushed out.

How long does it take for a port to flush out?

If your port hasn’t been accessed in about a month, you have to have it flushed out. This can be done at your local hospital blood lab department and will only take a few minutes. This will help prevent blood clotting, infection, and other complications. This article first appeared on Rethink Breast Cancer.

Why do you need a port for a vein?

If you are in treatment, you will need to have your veins accessed frequently. A port is used to avoid poking your arm with needles numerous times and for protecting small veins. It is removed after therapy and leaves a small scar behind. Although a port may be recommended, getting one is a decision you need to make with your doctor.

Can you get a port in your arm?

Although a port may be recommended, getting one is a decision you need to make with your doctor. There are many factors to consider including cost, type, and schedule of treatment, as well as other existing medical conditions you may have. It can also be inserted in your upper arm, but this is something you often have to advocate for in Canada, ...

Can you wear a seat belt over a port?

It can be uncomfortable. Wearing a seat belt or a purse directly over the port area can irritate it, but thankfully, accessories can help — think small pillows between your port and the seat belt or a seat belt wrap. (If you want to add a bit of personality to your pillow, Etsy does carry some cute ones.)

Where to put a port for cancer?

Ports are most often placed under the skin of the chest or arm. With certain types of cancer, a port might be placed in the abdomen (belly) to allow medicine to be given into the area where a tumor is.

What is an implant port?

An implanted port (also called an implantable venous access port) is a common choice for people with cancer. The port is a small drum made of plastic or metal, with a thin tube (called a line) going into a large vein. The drum is covered with a self-sealing membrane (called a septum) made of silicone.

What is an IV line?

Intravenous (IV) lines are thin, flexible, plastic hoses that run from a bottle or bag of medicine into a tiny needle or intravenous catheter (a small, flexible tube) placed in a vein in your body. IV lines must always be germ-free (“sterile”) to be sure no infections get into your blood. IV supplies are used only once and are never re-used. They are used to put medicines, blood products, nutrients, or fluids right into your blood. Sometimes, they can also be used to take out blood for testing.

What equipment is used for cancer treatment?

Tubes, Lines, Ports, and Catheters Used in Cancer Treatment. If you need surgery, chemotherapy, or other types of treatment, equipment like tubes, lines, ports, and catheters might be used. The type of equipment that's used depends mostly on the reason it's needed, but it will also depend on your health and preferences, ...

Why do we need tubes?

Tubes, lines, ports, and catheters might be needed to give cancer treatments, other medicines, fluids, blood products, oxygen, and liquid nourishment (food or feedings). Sometimes tubes are used to pull or drain fluid from the body after surgery or during other treatment-related procedures. You may not have to take care of any kinds ...

Why do you put a tube in the bladder after surgery?

Put into the bladder to drain urine after surgery or because of other problems that might come up. Put into a colostomy or the rectum to help drain intestinal waste if needed. If you leave the hospital with any drainage tubes, your nurse will teach you how to care for them and what problems to watch for.

Can you bathe after a cancer port is inserted?

Once the port is inserted and the incision heals, the skin around it doesn’t require any special care. You can bathe, shower, or even swim. Your cancer care team will tell you when it’s OK to do these things.

Where is a port placed?

Your port will be placed either in Interventional Radiology or in the operating room. Port placement is a short procedure. Your doctor or nurse will tell you how to prepare for it.

What is an implanted port?

About Implanted Ports. An implanted port (also known as a “port”) is a flexible tube that’s placed into a vein in your chest. It will make it easier for your healthcare team to: Give you intravenous (IV, through a vein) medication. Give you IV fluids. Take blood samples.

What are the two parts of an implanted port?

Types of implanted ports. All implanted ports are made up of 2 parts: the port with a septum and a catheter (see Figure 2). The port is the starting point of fluid flow through the catheter. It sits under your skin and has a raised center called a septum. The septum is made from a self-sealing rubber material.

How long after a port is removed can you shower?

Wearing a seatbelt may put pressure on your incisions. You can put a small pillow or folded towel between the strap and your body to help with this. For 3 to 5 days after your implanted port is placed, don’t lift anything heavier than 10 pounds (4.5 kilograms).

How much does a port raise your skin?

Your implanted port may raise your skin about ½ an inch (1.2 centimeters). You may be able to feel it through your skin, but you probably won’t be able to see it when you wear a V-neck shirt. Most people won’t know that you have it. The skin over your implanted port doesn’t need any special care.

How long after port placement can you lift?

Wearing a seatbelt may put pressure on your incisions. You can put a small pillow or folded towel between the strap and your body to help with this. For 3 to 5 days after your implanted port is placed, don’t lift anything heavier than 10 pounds (4.5 kilograms).

Where is the catheter placed in the neck?

The catheter will be placed through the second incision, tunneled under your skin to the first incision, and threaded into your vein.

What is a port used for?

Ports and catheters are used in a number of medical treatments. For cancer patients, they may be used during surgery, for fluid removal, to give food or administer chemotherapy medicine.

How often should I flush out a port?

Since the port is entirely under the skin, the site of insertion heals over. The implanted port should be flushed out about once a month when not in use, but otherwise doesn’t require any special attention. You may be able to bathe, shower and swim as usual. Your care team may provide specific instructions, so you know when you can return to normal activities after its placement. A special needle is used to access the port when medication delivery or a flushing procedure is needed. This feels the same as any needle going into the skin, so it may be a little uncomfortable.

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Port Use in Chemotherapy

How A Chemo Port Is Implanted

Advantages

Disadvantages

  • Chemotherapy ports may seem like a "no-brainer," but they have their limitations and risks. They include: 1. Risk of infection: While the risk is relatively low, it can occur. Research suggests that around 2% of chemo ports need to be replaced due to an infection.4 2. Risk of thrombosis: Many people with a chemo port will develop a blood clot (thrombosis) which can block the catheter. T…
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Avoiding Complications

  • As infrequent as infections are with chemo pumps, they do occur. In severe cases, this can lead to a potentially life-threatening, whole-body infection known as septicemia.4 Flushing the catheter with an antibiotic and heparin solution appears to significantly reduce the risk of infection.4Cleansing the skin also does not appear to help. However, if there are signs of a local …
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Summary

  • A chemotherapy port is a device implanted under the skin to deliver chemo drugs to a large vein in the upper chest. The port is usually implanted as a same-day surgical procedure under local anesthesia. A chemo port reduces the need for repeated needle sticks during chemo. The port is largely invisible under clothes and can be submerged under water...
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A Word from Verywell

  • Having a chemo port implanted is often the first step in chemotherapy. Since it involves minor surgery, there are risks you need to consider. It is important to talk with your oncologist about the pros and cons of a chemo port—and how you'll need to care for it—before you make an informed decision about the procedure.
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