[Music]
hello
my name is dr mina mccary and i'm a
vascular and interventional radiologist
at the ohio state university wexner
medical center i'll be going over your
procedure interventional radiology today
and you'll be having a port placement a
port is actually a very useful device
they can be used for a variety of
medical purposes including administering
medications
and chemotherapy drawing blood and
even for conducting medical tests such
as cat scans and mris
these devices often have a huge impact
in ensuring
reliable iv access and avoiding repeated
iv sticks
especially for patients with poor veins
the device itself consists of a chamber
where the medicine
is injected or the blood is withdrawn
that chamber is then connected to a
small catheter
or a tube that goes into your vein where
the treatment goes
the main benefit of this procedure is to
provide you with
vascular access for medications and
or other needs as we previously
discussed the
risks of the procedure include pain
infection bleeding we minimize these
risks through
the use of anesthetics sterile
techniques
and minimally invasive small incisions
it's not uncommon though for patients
with sensitive skin to have soreness or
bruising for a few days afterwards
when you're transferred to the radiology
procedure room
your loved ones will return to the
waiting area and will have access to
complementary wi-fi and snacks
a member of our team will be available
for questions and updates on your
progress
in the procedure room you will have your
blood pressure your pulse
your other vitals checked for safety
purposes you may be asked
many of the same questions you've been
asked before specifically verifying your
procedure and its location your
allergies and your medications
poor placement is generally performed
under moderate or twilight sedation
where you're sleepy or relaxed but may
be able to respond to
the physician and breathe on your own
your physician will discuss your
personal sedation needs with you to
ensure you are
comfortable during the procedure
additionally a local and static or
numbing medication
is administered in the skin to ensure
the area is numb during the procedure
small incisions are then made in the
upper chest
neck area and ultrasound and x-rays are
used for guidance
to make sure that the port is
appropriately
positioned while the port is completely
under the skin in your upper chest
you may see your feet a little bit of a
bump
and that will help your healthcare
provider locate and access it since they
cannot see it
the side where the port will be placed
will depend on your past
medical and surgical history the
condition of your veins
and your personal preference depending
on your medical needs
the port itself may be a single or a
double port with
one or two chambers and your healthcare
team will help you with that decision
at the end of the procedure we test the
port to make sure it's working
appropriately
and can be used without issues we then
apply
steel dressings to the site the port can
be used immediately after the procedure
if you need it once your doctor feels
you're in good condition to go home your
care team will provide you with verbal
and
written instructions on what to expect
next the incision side of your port is
commonly closed with
dissolvable stitches that are buried
under the skin so you don't need to come
back for
the removal after the procedure we
recommend
not showering for 24 hours when you do
shower after that
please keep a clean dry dressing on the
site for the first week
we also recommend no strenuous upper
body activity
or heavy lifting for the first week once
your skin incision heals there are no
restrictions
if you do have any questions or concerns
during your healing process
please call 614-293-2773 to speak to a
member of our team
our goal is to make sure you're
comfortable during the procedure and
have a great experience today
so please do not hesitate to ask your
physician or any member of your health
care team
if you have any questions or if there's
anything we can do to ensure you're
comfortable during visit
thank you for choosing ohio state for
your interventional radiology care needs