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.
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References
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. 127
Beluffi G (1980) Quadri radiologici di complicanze in corso di nutrizione parenterale. Radiol Med 66: 633
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: 393
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: 251
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: 1871
Dimmick JE, Ellis DR, Hardwick DF, Kliman MR (1974) Complications of intravenous alimentation in seriously ill infants. Can J Surg 17: 186
Effmann EL, Ablow RC, Touloukian RJ, Seashore JH (1978) Radiographic aspects of total parenteral nutrition during infancy. Radiology 127: 195
Fliegel CP, Signer E, Stahl M, Lo S (1976) Thrombotic complications of long term intravenous alimentation in infants. Ann Radiol 19: 15
Gamulin Z, Gempere G, Rouge J-C, Simonet F (1979) Complications of a supraclavicular internal jugular vein catheterization. A case report. Z Kinderchir 27: 264
Knight L, Tobin J, L'Hereux P (1974) Hydrothorax: a complication of hyperalimentation with radiologic manifestations. Radiology 111: 63
Mc Alister WH, Keating JP, Shackelford GD (1978) Hyperalimentation catheter passing into the spinal canal causing temporary paraplegia. Pediatr Radiol 7: 119
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: 757
Seibert JJ, Weinstein MM, Eremberg A (1976) Catheter-related complications of total parenteral nutrition in infants. Pediatr Radiol 4: 233
Seibert JJ, Byrne WJ, Golladay ES (1981) Development of hypervitaminosis A in a patient on long-term parenteral hyperalimentation. Pediatr Radiol 10: 173
Spriggs DW, Brantley RE (1977) Thoracic and abdominal extravasation: a complication of hyperalimentation in infants. AJR 128: 419
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: 113
Wiley EL, Hutchins GM (1977) Superior vena cava syndrome secondary to Candida thrombophlebitis complicating parenteral alimentation. J Pediatr 91: 977
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This paper was given at the 18th E.S.P.R. Meeting in Oslo, on May 22nd, 1981
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Bellini, F., Beluffi, G. & Principi, N. Total intravenous hyperalimentation (TIH) complications in childhood: a radiological survey. Pediatr Radiol 14, 6–10 (1984). https://doi.org/10.1007/BF02386721
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DOI: https://doi.org/10.1007/BF02386721