I'm trying to help my wife who has been diagnosed Stage 3/4 Kidney cancer which has spread. She has been put on a course of Ipilmumab and Nivollumab which seems to offer the best way to manage her tumour. My question related to the choices on offer for cannulation. Her Oncologist nurse mentioned two possibilities - one was a sort of permanent hook-up on the top of her arm, the other was an implant, which may be a portacath which has to be surgically implanted . I would be grateful for any thoughts from this group.
Kind Regards, Ron.
Most people on immunotherapy by infusion use a cannula for each session which is a needle in your wrist or back of your hand. It's inserted after all the pre-checks are complete (weight etc) and removed once all the drugs are delivered.
My understanding is that permanent PICC lines and Portacaths are sometimes used for chemo because the side effects sometimes cause the veins to shrivel up so they can't get a cannula in easily. The picc and portacath lines go direct into your central vein. One (Picc) you can't get wet and I think you need to maintain it/flush it weekly.. The breast forum group talk about these options a lot which is where all my knowledge is from. But it's hearsay from me so weight it appropriately!
The portacath you have to get inserted before treatment - 7 days beforehand I think. It takes about 45 mins.
A temporary cannula is usually fit-for-purpose for most.
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