1.  Yes, the port-a-cath is a central venous catheter that is surgically inserted.

2.  Yes, the port-a-cath can replace the PICC.

3.  Less maintenance with a port-a-cath. Typically at least once a month the port must be flushed to maintain its function.  To remove a port-a-cath, does not require surgery, but a simple local anesthetic to remove.

4.  Please contact your primary care physician at MDACC.  This would be the person who orders your chemotherapy.  The primary physician simply puts a "consult online" to the attention of the Port Clinic and you will be scheduled for a pre-port placement evaluation.