Evidence map›Paper›PMID 42185446›Full record

ArticleScientific reports2026

Quantitative and qualitative evaluation of residual deposits in implanted intravenous ports informs maintenance strategies.

Jui-Ying Fu, Yen Chu, Elsie Khai-Woon Toh, Ya-Ying Hsu, Ching-Feng Wu, Po-Chun Chang, Ching-Yang Wu

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jui-Ying Fu *Division of Pulmonary and Critical care, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan.
Yen Chu *College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Elsie Khai-Woon TohDivision of Thoracic Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Ya-Ying HsuDivision of Thoracic Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Ching-Feng WuCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Po-Chun ChangCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Ching-Yang WuCollege of Medicine, Chang Gung University, Taoyuan, Taiwan. wu.chingyang@gmail.com.

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3M1281, CMRPG5G0131
6 · The paper itself

Abstract

This study aimed to evaluate the distribution and composition of intraluminal deposits in implanted intravenous ports removed from oncology patients, with a focus on assessing the effectiveness of current nursing maintenance protocols. Ports removed after completion of cancer treatment were analyzed. Each catheter was segmented into proximal, middle, and distal thirds for regional analysis. Total protein concentrations were measured using the bicinchoninic acid (BCA) assay. Thrombosis-related proteins-fibrin, fibrinogen, thrombin, and P-selectin-were identified by Western blot analysis. A total of 46 patients were included. Three distinct patterns of protein residue distribution were identified between the injection chamber and the catheter. Eleven patients exhibited comparable protein levels in both regions, but only seven demonstrated adequate irrigation. Eighteen patients showed higher protein accumulation in the catheter, while seventeen had greater deposits in the injection chamber. The distal catheter segment consistently exhibited the highest protein concentration, particularly in ports implanted for more than five years. Western blot analysis confirmed the presence of thrombogenic proteins, and the absence of β-actin indicated minimal cellular debris. These findings suggest that mechanical flushing plays a more critical role than pharmacologic flushing in deposit clearance. Proteinaceous deposits persist despite adherence to current protocols, with a notable presence in areas of suboptimal flow, such as the chamber base and distal catheter. These findings suggest a link between flow dynamics and deposit accumulation, indicating that revisions to nursing guidelines-including standardized insertion, increased flushing volumes, and simulation-based competency training-may help support improved port function and potentially lower complication risks.

Indexed as

Catheters, IndwellingNeoplasmsVascular Access DevicesFemaleFibrinFibrinogenHumansMaleP-SelectinThrombinThrombosisFibrinFibrinogenP-SelectinThrombin

Identifiers

PMID42185446
PMCPMC13434713

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.