Catheter dysfunction occurs frequently in patients receiving home parenteral nutrition (HPN). Catheter-associated thrombosis can be life threatening and limit future vascular sites. Both of these complications can be minimized and treated by proper catheter placement and being aware of preventative and therapeutic measures. (Journal of Parenteral and Enteral Nutrition 30:S70 -S72, 2006)
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References
1.
1. Moureau N, Poole S, Murdock MA, Gray SM, Semba CP. Central venous catheters in home infusion care: outcomes analysis in 50,470 patients. J Vasc Interv Radiol.2002;13:1009–1016.
2.
2. Stephens LC, Haire WD, Kotulak GD. Are clinical signs accurate indicators of the cause of central venous catheter occlusion?JPEN J Parenter Enteral Nutr.1995;19:75–79.
3.
3. Grant J. Recognition, prevention, and treatment of home total parenteral nutrition central venous access complications. JPEN J Parenter Enteral Nutr.2002;26(suppl):S21–S28.
4.
4. Mirza B, Vanek V, Kupensky D. Pinch-off syndrome: case report and collective review of the literature. Am Surg.2004;70:635–644.
5.
5. Andris DA, Krzywda EA, Schulte W, Ausman R, Quebbeman EJ. Pinch-off syndrome: a rare etiology for central venous catheter occlusion. JPEN J Parenter Enteral Nutr.1994;18:531–533.
6.
6. Xiang DZ, Verbeken EK, Van Lommel AT, Stas M, De Wever I. Composition and formation of the sleeve enveloping a central venous catheter. J Vasc Surg.1998;28:260–271.
7.
7. O'Farrell L, Griffith JW, Lang CM. Histologic development of the sheath that forms around long-term implanted central venous catheters. JPEN J Parenter Enteral Nutr.1996;20:156–158.
8.
8. Merport M, Murphy T, Egglin T, Dubel GJ. Fibrin sheath stripping versus catheter exchange for the treatment of failed tunneled hemodialysis catheters: randomized clinical trial. J Vasc Interv Radiol.2000;11:1115–1120.
9.
9. Scolapio JS, Fleming CR, Kelly D, Wick DM, Zinsmeister AR. Survival of home parenteral nutrition-treated patients: 20 years of experience at the Mayo Clinic. Mayo Clin Proc.1999;74:217–222.
10.
10. Department of Health and Human Services for Health Care Financing Administration. Program Memorandum Intermediaries/ Carriers: Intestinal and Multi-Visceral Transplantation. Baltimore, MD: Department of Health and Human Services for Health Care Financing Administration; 2001. HCFA-Pub. 60AB.
11.
11. Howard L, Ashley C. Management of complications in patients receiving home parenteral nutrition. Gastroenterology.2003;125:1651–1661.
12.
12. Richards DM, Deeks JJ, Sheldon TA, Shaffer JL. Home parenteral nutrition: a systematic review. Health Tech Assess.1997;1:1–59.
13.
13. Cho JS, Gloviczki P. Venous disease. Surgery.2001;16:16.1–16.14.
14.
14. Joffe HV, Goldhaber SZ. Upper-extremity deep vein thrombosis. Circulation.2002;106:1874–1880.
15.
15. Monreal M, Raventos A, Lerma R, et al. Pulmonary embolism in patients with upper extremity DVT associated to venous central lines: a prospective study. Thromb Haemost.1994;72:148–150.
16.
16. Kovacs MJ, Mackinnon KM, Anderson D, et al. A comparison of three rapid D-dimer methods for the diagnosis of venous throm-boembolism. Br J Haemotol.2001;115:140–144.
17.
17. Hartnell GG, Hughes LA, Finn JP, Longmaid HE 3rd. Magnetic resonance angiography of the central chest veins: a new gold standard?Chest.1995;107:1053–1057.
18.
18. Klerk CPW, Smorenburg SM, Buller HR. Thrombosis prophylaxis in patient populations with a central venous catheter. Arch Intern Med.2003;163:1913–1921.
19.
19. Luciani A, Clement O, Halimi P, et al. Catheter-related upper extremity deep venous thrombosis in cancer patients: a prospective study based on Doppler US. Radiology.2001;220:655–660. This paper, with references 20, 21, and 22, makes the point that the safest catheter tip placement is at the junction of the superior vena cava and right atrium. LEVEL 5
20.
20. Petersen J, Delaney J, Brakstad M, et al. Silicone venous access devices positioned with their tips high in the superior vena cava are more likely to malfunction. Am J Surg.1999;178:38–41. This paper, with references 20, 21, and 22, makes the point that the safest catheter tip placement is at the junction of the superior vena cava and right atrium. LEVEL 5
21.
21. Cadman A, Lawrance JAL, Fitzsimmons L, Spencer-Shaw A, Swindell R. To clot or not to clot? That is the question in central venous catheters. Clin Radiol.2004;59:349–355.
22.
22. Labourey JL, Lacroix P, Genet D, et al. Thrombotic complications of implanted central venous access devices: prospective evaluation. Bull Cancer.2004;91:431–436.
23.
23. Passaro M, Steiger E, Curtas S, Seidner DL. Long-term Silastic catheters and chest pain. JPEN J Parenter Enteral Nutr.1994;18:240–242.
24.
24. Ruesch S, Walder B, Tramer M. Complications of central venous catheters: internal jugular versus subclavian access-a systematic review. Crit Care Med.2002;30:454–460.
