A vascular access port configured to be implanted subcutaneously comprising a housing; a septum affixed to the housing; an internal reservoir collectively defined by the septum and the housing; an outlet stem defining a lumen configured to be in fluid communication with the internal reservoir and having a retention feature on an outer surface of the outlet stem; a connecting element slidingly engageable over an outer surface of the distal end of the catheter positioned over the outlet stem; and one or more markers on the connecting element and discernable following subcutaneous implantation of the access port. The outlet stem is configured to receive a distal end of a catheter such that the distal end of the catheter is positioned over the retention feature of the outlet stem. Related systems and methods of use are described.