A long term prospective study with peripherally inserted central catheters, tunneled catheters and ports in home parenteral nutrition

2018 ◽  
Vol 37 ◽  
pp. S136
Author(s):  
E. Santacruz ◽  
R. Mateo-Lobo ◽  
J. Riveiro ◽  
L. Nattero ◽  
B. Vega-Piñero ◽  
...  
2019 ◽  
Vol 20 (6) ◽  
pp. 778-781
Author(s):  
Trevor Tyner ◽  
Noelle McNaught ◽  
Matthew B. Shall ◽  
Mark L. Lessne

Peripherally inserted central catheters provide access to the central chest veins and allow administration of long-term antibiotics, chemotherapy, blood products, fluids, and parenteral nutrition. Peripherally inserted central catheters provide an essential function and are routinely placed safely, but are not without risks. This case describes an unusual complication of peripherally inserted central catheter perforation into the pericardial space with subsequent successful percutaneous removal.


Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2083
Author(s):  
Raquel Mateo-Lobo ◽  
Javier Riveiro ◽  
Belén Vega-Piñero ◽  
José I. Botella-Carretero

Background: Home parenteral nutrition (HPN) has become a common therapy. There is still controversy regarding the possibility that peripherally inserted central catheters (PICCs) may diminish catheter-related blood stream infection (CRBSI) rates. Methods: We searched the PubMed database for studies reporting the rates of CRBSI with HPN. Study selection was performed independently by three investigators. Disagreements were discussed and resolved by consensus or by arbitration by an author not involved in the search. The National Institutes of Health Quality Assessment Tools was used to assess the methodological quality of the studies. Meta-analyses were performed using MetaXL 5.3 with the quality effects model. Results: Screening of the article titles and abstracts yielded 134 full text articles for evaluation. Only three prospective studies that included appropriate data were considered for the final analysis. The relative risk of the CRBSI rate was 0.41 (0.14–1.17) for PICC vs. tunneled catheters. The relative risk of the CRBSI rate was 0.16 (0.04–0.64) for PICC vs. ports. The relative risk of the thrombosis rate was 3.16 (0.20–49.67) for PICCs vs. tunneled. Conclusions: There is insufficient evidence to show a difference in CRBSI rates between PICCs and tunneled catheters. On the other hand, PICCs showed lower CRBSI rates than ports. There was also no difference in the rate of catheter-related thrombosis and mechanical complications.


2012 ◽  
Vol 37 (4) ◽  
pp. 544-549 ◽  
Author(s):  
Jose I. Botella-Carretero ◽  
Carmen Carrero ◽  
Eva Guerra ◽  
Beatriz Valbuena ◽  
Francisco Arrieta ◽  
...  

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