Journal of Lung, Pulmonary & Respiratory Research Case Report Open Access Use of vacuum therapy in access port catheter extravasation of vesicant cytotoxic agents Abstract Volume 5 Issue 4 - 2018 Extravasation of vesicant cytotoxic is a severe complication of chemotherapy. Alejandro Gabriel Da Lozzo,1 Alberto Daniel Although access port catheters are used to reduce extravasation, rates up to 4.7% have Giménez Conca,2 Sung Ho Hyon,3 María been reported. Complications can be severe with tissue necrosis or even organ failure 2 and death. The principal cause is needle malpositioning. Treatment mostly includes Paula Cardenas 1 immediate explantation of the port and subcutaneous lavage. We report two cases: Thoracic Surgery, Hospital Italiano de Buenos Aires, Argentina 2Hematology, Hospital Italiano de Buenos Aires, Argentina one with conservative treatment with port explant and local wound care and another 3Minimally Invasive Surgery, Hospital Italiano de Buenos Aires, patient with aggressive treatment that included port explant, lavage and use of vacuum Argentina therapy to complete suction of any remnant vesicant cytotoxic. Alejandro Gabriel Da Lozzo, Thoracic Keywords: cytotoxic, extravasation, vacuum therapy, breast edema, surgical lavage Correspondence: Surgery, General Surgery Service, Hospital Italiano de Buenos Aires, Argentina, Tel +54 911 34375357, Email
[email protected] Received: July 19, 2018 | Published: August 06, 2018 Introduction so nursing care protocols based in patient safety with early warning are encouraged, especially with high risk drug administration. The Access port catheters have been successfully employed in cancer principal cause of extravasation is needle malpositioning or secondary 1 therapy since first described in the 1980s. They provide a way to disconnection between the needle and the port.4 Cytotoxic drugs are administer drugs when peripheral venous access is not available classified based upon their potential for local toxicity (Table 1).