The dependence of IV hyperalimentation programs on the achievement and maintenance of reliable
vascular access in the home infusion patient population has necessitated a review of the current
methods used to establish and maintain adequate long-term vascular access. Vascular access
device-related complications are significant contributors to the medical course and costs associated
with the care of home parenteral nutrition (HPN) patients. The purpose of this manuscript is to
review current thoughts on the establishment of long-term vascular access for HPN with regard to
techniques used, device selection, and associated complications. (Journal of Parenteral and Enteral
Nutrition 30:S57-S64, 2006)
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