AngioDynamics Port: Safety Risks and Side Effects
AngioDynamics port catheters deliver medications and fluids for patients who require long-term treatment. Common side effects include infections and blood clots. The FDA has received reports of device fractures, which can cause serious injuries that require surgery and have led to lawsuits.
What Is the AngioDynamics Port Used For?
Medical providers use the AngioDynamics port to deliver medications and fluids, draw blood or deliver contrast fluid for CT scans. Other fluids may include chemotherapy drugs or nutrition.
AngioDynamics markets its flagship port catheters under the SmartPort brand. Each model has different specifications.
- SmartPort/SmartPort+:
- Delivers nutrition, medications and liquids, and draws blood.
- SmartPort CT Power-Injectable Port:
- High-pressure port that delivers nutrition, medications and liquids, and draws blood. It can also inject CT contrast media for CT imaging scans.
Other ports manufactured by AngioDynamics include: Vortex Port Catheter, BioFlo Port Catheter and Xcela Plus Port Catheter.
Doctors insert the port in the chest or arm through small incisions under general anesthesia. The port is connected to a catheter that doctors insert into the patient’s vein. It takes about one to two weeks to recover from the procedure.
To deliver medication or draw blood, medical providers insert a needle into the port. This avoids having to insert a needle into the patient’s arm to access a vein.
Risks of AngioDynamics Ports
The most common risks of AngioDynamics ports include blocked catheters, blood clots, infections and medications leaking into the tissue surrounding the port.
The frequency of these problems varies depending on the patient, doctor and model. A 2022 study in the Cureus Journal of Medical Science found a 10.5% complication rate from 807 implanted port catheters, including AngioDynamics SmartPorts. Complications included blood clots, mechanical failures and infections.
While some problems occurred right away, about 70% happened more than a month after the ports were implanted.
- Accumulation of blood or fluid between the lung and chest wall (hemothorax, hydrothorax)
- Air, catheter or catheter fragments blocking a blood vessel (embolism)
- Air entering the space between the lung and chest wall
- Allergic reaction
- Arterial puncture
- Bacteria in the bloodstream (bacteremia)
- Bleeding
- Blood clot
- Cardiac puncture
- Catheter occlusion, malposition, dislodgment, fragmentation, migration, disconnection or rupture
- Catheter or port erosion through skin/blood vessel
- Death
- Hematoma
- Implant rejection, rotation or extrusion
- Infection
- Inflammation
- Irregular heartbeat
- Nerve damage
- Pain at or around port pocket site
- Risks normally associated with local and general anesthesia, surgery and post-operative recovery
- Scarring of skin over the implant area (necrosis)
- Stuck or difficult-to-remove catheters
Patients who experience any of these problems or other unusual symptoms should tell their medical provider right away. If you have symptoms of a heart attack, such as shortness of breath and persistent chest pain, seek emergency medical attention.
Other symptoms to watch for include swelling or pain in the shoulder, neck or arm; pain and redness around the port site; fever or fluid drainage from the port site; or a burning sensation during medication delivery into the port.
These symptoms could signal a problem with the port and should be reported to a medical provider right away.
What Happens if the Port Catheter Breaks or Fractures?
If the AngioDynamics port catheter breaks or fractures, it can cause serious complications, some of which are fatal. Some patients with fractured port catheters required additional surgery to remove the defective device.
The U.S. Food and Drug Administration’s MAUDE Adverse Event Report collects data on defective devices and side effects. In one report for AngioDynamics SmartPort, a patient began experiencing chest discomfort and pain. The next day, the patient went to receive an infusion at a cancer center, but the nurse wasn’t able to draw blood from the port. An X-ray revealed that a portion of the tubing had broken off and lodged in the patient’s heart. She had to have emergency removal of the tubing.
Reports of catheter fractures and injuries have led to AngioDynamics SmartPort lawsuits. The lawsuits claim the catheters were manufactured with too much barium sulfate, making them more likely to fracture and degrade, causing injuries.
- Blood clots
- Death
- Hemorrhage
- Infection
- Irregular heartbeat and other symptoms like a heart attack
- Perforation of tissue, blood vessels and organs
- Pressure caused by blood buildup around the heart (cardiac tamponade)
- Severe pain
Some problems, such as catheter fractures and infections, are similar to those mentioned in Bard PowerPort lawsuits.
Have There Been AngioDynamics SmartPort Recalls?
Yes, there have been AngioDynamics SmartPort recalls, but they have not been related to device fractures.
In August 2011, AngioDynamics recalled 1,095 SmartPort CTs because they could have contained the wrong catheter and introducer size. In February 2021, AngioDynamics recalled 267 SmartPort CT catheter kits because of packaging problems that could cause sterility issues.
How to Avoid AngioDynamics Port Problems
You can avoid AngioDynamics port problems by keeping the port area clean and having your port inspected regularly by your medical provider. Regular port inspections can catch problems earlier and help avoid more serious complications.
- Your port will need to be flushed from time to time to make sure it’s working. Discuss this with your doctor or nurse and keep all appointments.
- Prevent infections by bathing daily, brushing your teeth twice a day, keeping your bed and environment clean and washing your hands often before interacting with your port.
- Examine your port site regularly and watch for tenderness, swelling, redness or increased pain.
- Report any unusual symptoms to your medical provider. These include bruises, pus, chills, fluid from the port site or a fever of 100.4 or higher.
You should be able to resume most activities after your port incision heals. Make sure you check with your medical provider before participating in high-impact activities or rough sports like football.
10 Cited Research Articles
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- United States District Court Southern District of California. (2025, July 17). Davison v. AngioDynamics, Inc. et al. Complaint. Retrieved from https://ecf.casd.uscourts.gov/cgi-bin/DktRpt.pl?822272
- Cleveland Clinic. (2024, October 30). Implanted Port. Retrieved from http://my.clevelandclinic.org/health/procedures/21701-implanted-port
- FDA. (2022, December 6). MAUDE Adverse Event Report: AngioDynamics Smart Port; Port & Catheter. Retrieved from https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfmaude/detail.cfm?mdrfoi__id=16052372&pc=LJT
- Kartsouni, V. et al. (2022, July 30). Complications of Totally Implantable Central Venous Catheters (Ports) Inserted via the Internal Jugular Vein Under Ultrasound and Fluoroscopy Guidance in Adult Oncology Patients: A Single-Center Experience. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC9421351/
- FDA. (2021, February 22). Class 2 Device Recall Smart Port CT. Retrieved from https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRES/res.cfm?id=186284
- AngioDynamics. (2019, September). SmartPort+ Implantable Port with Endexo and Vortex Technology: A Patient’s Guide. Retrieved from https://www.angiodynamics.com/wp-content/uploads/2024/11/14655333-21A-SmartPort-Patient-Guide.pdf
- AngioDynamics. (2017, May). SmartPort Patient Education. Retrieved from https://www.angiodynamics.com/wp-content/uploads/2024/11/SmartPort-CT-Patient-Guide-14656995-01A.pdf
- FDA. (2011, August 1). Class 2 Device Recall 8F Smart Port CT. Retrieved from https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfres/res.cfm?id=103022
- AngioDynamics. (n.d.). Medical Device Risk Information, SmartPort. Retrieved from https://www.angiodynamics.com/about-us/risk-information/?prod=smartport
- Memorial Sloan Kettering Cancer Center. (n.d.). About Your Implanted Port. Retrieved from https://www.mskcc.org/cancer-care/patient-education/your-implanted-port
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