en Vascular & Trauma Surgery Vascular & Trauma Surgery Original Research: Clinical Science Original Research: Clinical Science <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><b><span style="font-size:9.0pt"><span style="font-style:normal">Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">Identifying possible complications accompanying central venous catheterization may improve the results. The current study was conducted to clarify the complication rate among port-a-cath implantation in children referred to Ali-Asghar hospital from 2011 to 2015. This study was designed to determine complication rates among the pediatric population who underwent port-a-cath implantation for chemotherapy. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Methods:</b> The current observational study reviewed the medical documents of children who were referred to Ali-Asghar hospital from 2011 to 2015. Factors such as underlying disease, demographic characteristics, complications and their management were considered. We analyzed the results of this study using multivariate logistic regression.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Results:</b> A total number of 100 patients met the eligibility criteria. In Thirty-two cases, chemoport catheters were removed due to complication management or termination of adjuvant chemotherapeutic treatment. Fifty-one boys and forty-nine girls enrolled in the study. The mean duration of catheter preservation defined per patient was 693 days &plusmn;1 year SD. 14 catheters were removed followed by planned treatment termination, while 18 catheters were complicated due to port dysfunction, infection, skin necrosis, and extravasation, hematoma in order of decreasing. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Conclusion:</b> Chemo port utilization is mandatory in pediatric patients with cancers demanding adjuvant treatment. The possible complications would be managed by a variety of protocols. Respecting anti-septic principles by trained personnel will prevent the majority of associated complications.</span></span></span></span></span></span></span></span><br> &nbsp; Bloodstream Infection, Chemo Port, Implantable Venous Access Device, Pediatric/Child 447 450 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-6883-1&slc_lang=en&sid=1 Fariba Jahangiri jahangiri.f@iums.ac.ir 200319475328460070809 200319475328460070809 Yes Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Mahmoud Salek amir.msalek@gmail.com 200319475328460070810 200319475328460070810 No Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Seyed Javad Nassiri sarveravan@yahoo.com 200319475328460070811 200319475328460070811 No Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Fariborz Samadi Fariborz.samadi60@gmail.com 200319475328460070812 200319475328460070812 No Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Mina Koohian Mohammadabadi mina.koohian75@gmail.com 200319475328460070813 200319475328460070813 No Department of Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran