<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>melleemac</b></i>
Question is, what made you or your Dr decide on getting the port a cath. Brandy also wants to know if you have to be put under to have it inserted.
Thanks
Mel</end quote></div>
I also had a Broviac-Hickman as an infant. I actually have a little "knot" of cartilage or something approximately 6 inches from my port site, on my left. They are similar, but not exactly the same. The difference is, a port-a-cath threads through the superior vena cava, which goes directly to the heart. On X-rays I can see the tubing, and it's sort of cool.
The doctor decided I needed a port because I was no longer a candidate for the PICC (peripherally inserted central catheter) lines, because my veins were so lousy, and were becoming schlerosed (meaning there was too much scar tissue at the access point). I was getting to the point where I was needing more frequent tuneups, and also requiring some TPN (total periph. nutrition) to get my weight up, and all of that would have been too much for a PICC to handle in the longer term.
I had to be put under general anesthesia for the insertion of the port. At the time I was already inpatient (for the TPN and a tune-up). The procedure can be done out-patient however. In fact, I just got off the phone with my CF clinic, and it looks like I may be having a new port placed next week.