Many cancer patients require a vascular surgeon to implant a portacath, a safe and effective method for administering chemotherapy and other medications, as well as for collecting samples. Many cancer patients experience venous drainage during these procedures.
The role of a vascular surgeon also includes treating blood clots in cancer patients, which are more common in this population. Vascular surgeons are also consulted during the surgical removal of certain tumours that are associated with veins and arteries.
1) Port-a-Cath (Implantable Venous Port)
What is it?
A small device implanted under the skin and connected to a catheter placed inside one of the major central veins. It is used for administering chemotherapy, blood transfusions, and drawing blood samples without repeated needle punctures in the arm.
Advantages:
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Highly comfortable for the patient
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Reduces pain from frequent needle insertions
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Long lifespan—may remain for months or years
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Lower risk of infection compared to traditional catheters
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Hidden under the skin, allowing normal daily activities
When is it used?
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Patients receiving regular or long-term chemotherapy
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Weak or difficult peripheral veins
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When a stable and long-lasting venous access is needed
How is it implanted?
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Performed under local anesthesia
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A small incision on the upper chest to place the port
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Catheter inserted under ultrasound/X-ray guidance
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Same-day discharge in most cases
2) PICC Line (Peripherally Inserted Central Catheter)
What is it?
A thin catheter is inserted through a vein in the arm and advanced to the central veins near the heart. It provides a safe and stable route for administering chemotherapy and long-term intravenous medications.
Advantages:
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Simple, quick, and non-surgical procedure
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Ideal for medium- or long-term treatment
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Easy to maintain and clean
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Reduces irritation of arm veins
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Commonly used when a Port-a-Cath is not required
When is it used?
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Medium- or long-term chemotherapy
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Long courses of intravenous antibiotics
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When peripheral veins are weak or painful
How is it inserted?
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Local anesthesia only
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A catheter is inserted through a vein in the upper arm
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Guided with ultrasound and X-ray to the central vein position
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Ready for use immediately or within a few hours
At Dr Mohamed Rafiq Saafan’s Clinic
All procedures are performed using:
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Advanced imaging and ultrasound guidance
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Highest standards of sterilisation and safety
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Ongoing follow-up to ensure proper catheter function and prevent infection or blockage
💡 Why choose Dr Mohamed Rafeek Saafan's clinic?
Extensive experience in vascular surgery and diabetic foot treatment.
Utilisation of the latest interventional catheterisation and microsurgical techniques.
An individualised treatment plan for each patient to ensure optimal results and maximum safety.