Port Placement Options

Emily65Roses

New member
I have a port right now, it's under my left boob. It's giving me trouble at the moment, as it's sluggish. I'm getting a stronger than heparin blood thinner tomorrow, and hopefully that'll clear it up. However, just in case, I'm thinking about the possibility of getting another port placed, if need be. As it is I'll need another port at somepoint anyway, whether it be now or down the road.

I'm just wondering of all the port placement options. I know they do arms, underneath the arms on the same level as the nipple (one of the girls here has said something about that), inner thighs, underneath the breasts, and the clavicle area. I just wish to know if anyone knows of any other placements they do that I'm currently not aware of. Thanks guys!
 

blindhearted

New member
I know they can put it on the upper part of the chest, near the collar bone, kind of common placement. I have mine in the same place as you do (ppl think its weird where mine is placed, nice to know I'm not the only one). I recently got mine replaced back in March and they put it just a little above and to the left of my old one (not original plan, it was to be lower and to the right). So they can put it just about in the same place.
 

anonymous

New member
my port is in my upper right chest. It works well (it's still new) but it's SO annoying with the way it sticks out. Shirt are a pain, dresses, swimsuits, anything stapless. It shows and I get a ton of (negative) attention for it. I hate when people stare at me. So if I were to do it all over again, I would have gotten it someplace else.
Good luck on deciding.
Kelli
 

rotandroll

New member
My port is in my upper left chest (below my collar bone). I know that sometimes they can be put in the inside of the upper arm if you have enough fat in that area to pad it. I have never had one there (both of my ports have been in the same place), but I hear they are kind of uncomfortable (they bump stuff when they are accessed and not accessed) and hard to access yourself, if you want to do that.

You should ask your surgeon if they can put it in the same place. They are usually able to do that if there isn't too much scar tissue.
 

anonymous

New member
Mine was on the inner aspect of my breast, sortof level with the nipple but towards the sternum as opposed to the armpit. It was completely invisible as it was buried in the breast tissue. I really liked having it there and found the placement to be good. Unfortunately it became clotted a year ago and had to be removed; I opted to wait on having a new one inserted. A question for you guys: did a surgeon put your port in or did you have it placed in IR? Mine was placed by a surgeon who was wonderful @ Children's in Boston, but a couple years after it was placed I switched hospitals and it was taken out at the new hospital in Interventional Radiology. I was told that is where they are inserted as well at my new hospital and that scares the heck out of me! I thought they were totally barbaric when they removed my old one, no sedation or anything (I insisted and they finally gave in begrudgingly but gave me a very hard time...) The thought of these same people inserting a new one terrifies me! I know I am going to need a new one before too long and I'm interested in other people's experiences.
Kim
40 w/cf
 

anonymous

New member
I just had a new port put in my left upper chest about a half-an inch from my collar bone. It was placed under general anesthesia by a terrific Cardiologist almost two and a half weeks ago. I had my old port that I had for three and a half years removed. It was in my left arm in the midddle, right below my elbow bend. It was called a PASS-Port, which is the same as my new one but just smaller and MUCH harder to access because the diameter is about half the size of my new one. I wish I would have understood my options better. Since I had just moved to Memphis and previously had 4 PICCs at the Atlanta clinic, I was thrilled to get something different. I didn't realize at the time that it would make any difference. The problem that bothered me every day and made for a horrible recovery is that where they usually place it in your arm is right by a nerve bed and to place the PASS-port you have to cut the muscles and the nerves and re-tether them to to the PASS-port. Well, I don't know about the rest of you but I heal very slow and usually not properly,which is what happened. My nerves never properly healed and so from that day on I didn't have full motion/bend of my arm and would have horrible sensations like hitting your funny bone but the kind that would last for hours. About three months ago the nurse had a hard time accessing it because the muscles in your arm roll easier and if you had exercised or lifted anything to heay with that arm the port would hurtand the muscles would swell. So she proceeded to keep trying access it and by the fifth try I couldn't even move my arm. Usually she does a great job and since where I'm at no one but her knows how to access PASS-Port I rely on her. Since I can't do myself one -handed and no on else had the special training needed, I went home and we tried again in 3 days. She got it and then the next two months were fine , but then I needed IV's. I went on for three weeks and wasn't geeting any better .PFT's were still in 30's and MRSA and Pseudimonas were still alive and strong. It kept hurting more and more and so then IV's stated taking over 6 hours to infuse. I went and had a Fluoroscopy and the said that it had been severly punctered and had bad clots because the more tubeing, higher chance of clots . The said that my meds had been seeping around the site since beginning and said probably didn't get meds. I'm now going on third week of new Iv's and steadily inproving.So all that said, I highly recomend not to have a PASS-Port put in at all costs, and I also recommend it near collar bone directly inline with nipple. I really like that even with more revealing outfits it does really show that bad. But who cares about a little scar when the won't have daily nerve irritation, ya know what I mean? <img src="i/expressions/face-icon-small-smile.gif" border="0">

Marlene, 18 CFRD
Memphis, TN
 

Emily65Roses

New member
Thanks so much for informing me of your problems with the port, Marlene. I was previously thinking about the arm port because the placement sounded much more convenient. But if the port itself is smaller and hard to access, then that's out the window. I don't need that kind of pain in the butt. Hah. But seriously, thanks for telling me the story. The more personal accounts I have of pros and cons, the better suited I am to decide where my new one will go if I need it.

PS-- I have been informed to go to the ER tomorrow morning. I was told to ask to see someone from pedi surgery. They're going to try and flush it, or scan it with something, I don't know. The point is, they're going to try and figure out what's wrong with it. So I should know by tomorrow what gives with it, and whether or not I need a new one.
 

NoDayButToday

New member
That stinks Emily. Going to the ER doesn't sound like it will be fun, but hopefully, they can get your port flowing nicely again. Good luck, and bring a good book.<img src="i/expressions/heart.gif" border="0">
 

HollyCatheryn

New member
My port is about the diameter of a quarter. I can access it if I have to, but it is easier for my husband to do it as he has a better line of sight. I have never had any problems with this one. I tried to have my second one placed in the same spot as my first (where Emily's is), but there was scar tissue at the subclavian artery on that side, so they switched sides and placed it at nipple-level directly below the bend of my armpit. I like this one better. I notice it less and am more comfortable when lying on my stomach and I have more bra options. This one sits between the upper and lower bands of elastic in the horizontal strap. Because of that, it doesn't even bother me when it is accessed. I can still wear the bras and clothes I like. I have heard of ones in the arm, but that would be more visible when accessed, right? I've also heard of ones in the thigh. These are general frowned upon because there are so many more inches of tubing up to the subclavian artery that can become clotted, kinked or twisted. Thighs also tend to be high-friction areas and could be troublesome when accessed, or even when not. I've also heard about placing a port ni the neck. I don't know much about it, but it sounds pretty uncomfortable and obvious to me. Just for reference, my first port was removed as a precaution. I had a blood infection and the docs were worried about it colonizing the port, so they removed it. I chose to have this one placed six onths later, because it is SO convenient. I'd never be without one again!
 

anonymous

New member
I have my port in my arm, on the inside of my bicep...
funny enough my arm port was inserted under a local anesthetic and when I had my chest port it was inserted under a GA, I dont really know the reasoning, my only guess is; (for the chest port to be inserted you're nekkid), thats my theory anyway<img src="i/expressions/face-icon-small-tongue.gif" border="0">

so arm ports are another option if your looking for positions

if ya wanna know something specific about arm ports then feel free to ask<img src="i/expressions/face-icon-small-tongue.gif" border="0">

Tracy
 

anonymous

New member
forgot to mention, my arm port has been in now for 6 years and Im very happy with it.
my chest port lasted roughly a year, which is prolly irrelevent.

Im tired so my post has been sketchy, so I just thought I would mention that my arm port healed quickly and Ive had no probs in the 6 years its been in, the area is smaller to access, but if someone has half a clue how to access it then there arent any real probs, think in the 6 years Ive had 2 misses, and I have accessed it myself a couple of times, only problem is, you need someone to hold it for you, so thats a pain, I use to access my chest port all the time, but its easier to get my arm port accessed without all the hassle

Tracy
 

Emily65Roses

New member
Quick update. I went to the ER this morning. They did chest X rays and they looked normal. They accessed it and it worked fine. So I'm just some neurotic 21 year old that doesn't know what she's talking about. Haaaa. Looks like the needle was just placed badly, or something. Who knows. Either way, my port is fine and can stay.
 

blindhearted

New member
I've had needles like that, I started thinking the worse when it happened. I'm glad everything worked out fine Emily. Hope it stays working for a long time.
 

Emily65Roses

New member
I hope so too. Thanks! <img src="i/expressions/face-icon-small-happy.gif" border="0"> <img src="i/expressions/heart.gif" border="0">
 

HotCFWifey

New member
MY HUSBAND GOT A PORT IN HIS CHEST ABOUT A YEAR AGO AND I WAS JUST WONDERING IF ANYONE NEW HOW LONG THEY LAST BEFORE THEY HAVE TO BE REPLACED???
 

Emily65Roses

New member
The lifespan is supposed to be something like 2,000 sticks. But since no one counts the sticks, it goes by how well the port is working. As long as the port is working correctly, isn't leaking or blocked, they can keep it in. How long they work correctly, though, changes from person to person. I've heard some needed to be replaced within a year or two, and I've heard of some lasting longer than 10 years. There's really no way to tell.
 
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