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Published on: July 13, 2019
Venous thrombosis during total parenteral nutrition with central venous catheters--role of nutritive solutions
J Di Costanzo1, N Cano, J Martin
1Department of Nutritional Support, Clinique Résidence du Parc, rue Gaston Berger, 13010 Marseilles, France.
Abstract:
Contrast venograms were performed after removal of the catheter in 17 cases with isolated fever during a study of 187 patients treated by total parenteral nutrition with silicone central venous catheters. Thrombosis of the superior vena cava or of one of its collaterals was present in 7 cases and comparison with the 10 cases who had normal venograms showed a significant difference in the composition of the nutritive solutions infused. Patients with thrombosis received more hypertonic solutions with higher concentrations of glucose and nitrogen in their daily infusions.
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