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X – DURATION OF IMPLANTATION AND REMOVAL OF THE PORT
X–1 DURATION OF IMPLANTATION OF THE SYSTEM
The port and catheter system should be removed at the end of treatment.
The duration of the system is mostly dependant on the catheter. Fracture is the most common complication of aging. Risk of
fracture may increase over time depending on the material of the catheter, the pathway, and the entry point of the catheter into
the vessel.
X–2 REMOVAL OF THE SYSTEM
Precaution : When removing the system, care must be taken not to fracture the catheter. If the catheter is sutured into the vessel,
the sutures should first be removed. Control the catheter while removing the system from the port pocket.
Be vigilant if there is excessive resistance to the removal of the catheter. Catheters may become encapsulated and attached to the
vein wall. Should this occur and it is not possible to remove the catheter without risking catheter fracture, or if the catheter is frac-
tured, the advice of an Interventional Radiologist, Surgeon or other Physician with endo-luminal experience should be sought.
X–3 SPECIAL ATTENTION: BABYPORT® (pediatric), BABYPORT® S (pediatric) AND SMALL PORTS
Following implantation of a port in a child particular attention should be given to the position of the catheter tip. Over time, as
the child grows, the position of the catheter tip will change and move higher in the Superior Vena Cava (SVC). As for any catheter,
a high tip position in the SVC predisposes the catheter to fibrin sheath formation and other mechanical difficulties.
The position of the catheter tip should be checked radiographically a minimum of every 12 months or more frequently if the child
is growing quickly. The catheter should be changed when the tip reaches the level of T4. Always ensure that the catheter is func-
tioning correctly before beginning infusions.
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