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Pediatric Radiology

, Volume 14, Issue 1, pp 6–10 | Cite as

Total intravenous hyperalimentation (TIH) complications in childhood: a radiological survey

  • F. Bellini
  • G. Beluffi
  • N. Principi
Originals

Abstract

Sixty consecutive patients, except for one 7-year-old patient, their ages varying from 1 day to 12 months received total intravenous hyperalimentation (TIH). It was possible to observe non-pathological catheter malpositions and, in 14 patients, other complications. The most serious complications observed included the following: thrombus and pericatheter thrombus calcification; superior vena cava thrombotic occlusion; hydrothorax; mediastinal effusion; generalized septic arthritis; venous transfixion with flooding of the soft tissues of the neck; vein wall lesions; collateral vertebral circulation; and a catheter tip blocked in vein. A brief comment is given on the use of this procedure and what may happen.

Key words

Total intravenous hyperalimentation (TIH) Complications of TIH thrombus Catheter calcification Superior vena cava occlusion Hydrothorax Mediastinal effusion Vein transfixion, vein wall lesions Septic arthritis 

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References

  1. 1.
    Beluffi G (1977) Idrotorace: complicanza in corso di nutrizione parenterale (N.P.E.). In: Bergonzini R (ed) Aggiornamento di pneumoradiologia, vol II. Informedica S.p.A., Milan, p. 127Google Scholar
  2. 2.
    Beluffi G (1980) Quadri radiologici di complicanze in corso di nutrizione parenterale. Radiol Med 66: 633Google Scholar
  3. 3.
    Businco L, Iannaccone G, Del Principe D, Lucarelli S, Cardi E, Rezza E (1977) Disseminated arthritis and osteitis by Candida albicans in a two month old infant receiving parenteral nutrition. Acta Paediatr Scand 66: 393PubMedGoogle Scholar
  4. 4.
    Campistol J, Krauel J, Baraibar R, Molina V, Rissech M, Alfonso H (1980) Hydrothorax: a rare complication of parenteral feeding in a new born. Z Kinderchir 29: 251Google Scholar
  5. 5.
    Della Pietra D, Pica M, Granata G, Tancredi F (1976) Complicanze della alimentazione parenterale totale in pediatria. Studio clinico-statistico su 185 pazienti. Minerva Pediatr 28: 1871PubMedGoogle Scholar
  6. 6.
    Dimmick JE, Ellis DR, Hardwick DF, Kliman MR (1974) Complications of intravenous alimentation in seriously ill infants. Can J Surg 17: 186PubMedGoogle Scholar
  7. 7.
    Effmann EL, Ablow RC, Touloukian RJ, Seashore JH (1978) Radiographic aspects of total parenteral nutrition during infancy. Radiology 127: 195PubMedGoogle Scholar
  8. 8.
    Fliegel CP, Signer E, Stahl M, Lo S (1976) Thrombotic complications of long term intravenous alimentation in infants. Ann Radiol 19: 15PubMedGoogle Scholar
  9. 9.
    Gamulin Z, Gempere G, Rouge J-C, Simonet F (1979) Complications of a supraclavicular internal jugular vein catheterization. A case report. Z Kinderchir 27: 264Google Scholar
  10. 10.
    Knight L, Tobin J, L'Hereux P (1974) Hydrothorax: a complication of hyperalimentation with radiologic manifestations. Radiology 111: 63Google Scholar
  11. 11.
    Mc Alister WH, Keating JP, Shackelford GD (1978) Hyperalimentation catheter passing into the spinal canal causing temporary paraplegia. Pediatr Radiol 7: 119Google Scholar
  12. 12.
    Ryan JA, Abel RM, Abbott WM, Kopkins CC, Mc Chesney TC, Colley R, Phillips K, Fischer JE (1974) Catheter complications in total parenteral nutrition. A prospective study of 200 consecutive patients. New Engl J Med 290: 757PubMedGoogle Scholar
  13. 13.
    Seibert JJ, Weinstein MM, Eremberg A (1976) Catheter-related complications of total parenteral nutrition in infants. Pediatr Radiol 4: 233CrossRefPubMedGoogle Scholar
  14. 14.
    Seibert JJ, Byrne WJ, Golladay ES (1981) Development of hypervitaminosis A in a patient on long-term parenteral hyperalimentation. Pediatr Radiol 10: 173CrossRefPubMedGoogle Scholar
  15. 15.
    Spriggs DW, Brantley RE (1977) Thoracic and abdominal extravasation: a complication of hyperalimentation in infants. AJR 128: 419PubMedGoogle Scholar
  16. 16.
    Wesley JR, Keens TG, Miller SW, Platker ACG (1978) Pulmonary embolism in the neonate: occurence during the course of total parenteral nutrition. J Pediatr 93: 113PubMedGoogle Scholar
  17. 17.
    Wiley EL, Hutchins GM (1977) Superior vena cava syndrome secondary to Candida thrombophlebitis complicating parenteral alimentation. J Pediatr 91: 977PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • F. Bellini
    • 1
  • G. Beluffi
    • 1
  • N. Principi
    • 2
  1. 1.Department of RadiologyUniversity of Milan, Instituti Clinici di PerfezionamentoMilanItaly
  2. 2.Department of Pediatrics, Pediatric ClinicsUniversity of Milan, Instituti Clinici di PerfezionamentoMilanItaly

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