A comparative study of peripherally-inserted and Broviac catheter complications in home parenteral nutrition patients

• Published in: Clinical nutrition (Edinburgh, Scotland) Scotland), 2015-02, Vol.34 (1), p.49-52
• Main Authors: Touré, A, Duchamp, A, Peraldi, C, Barnoud, D, Lauverjat, M, Gelas, P, Chambrier, C
• Format: Article
• Language: English
• Subjects: Aged; Catheter Obstruction - statistics & numerical data; Catheter-Related Infections - epidemiology; Catheter-Related Infections - microbiology; Catheterization, Central Venous - adverse effects; Catheterization, Peripheral - adverse effects; Catheters - adverse effects; Central Venous Catheters; Complication; Gastroenterology and Hepatology; Home parenteral nutrition; Humans; Middle Aged; Parenteral Nutrition, Home - instrumentation; Peripherally inserted central venous catheters; Prospective Studies; Sepsis; Thrombosis; Tunneled catheter; Venous Thrombosis - epidemiology
• ISSN: 0261-5614; 1532-1983
• DOI: 10.1016/j.clnu.2013.12.017

Summary Background & aims Peripherally inserted central venous catheters (PICC) have become increasingly popular for medium to long-term parenteral nutrition (PN) but there is limited data on the complication rates in this sub-group. We aimed to compare the rates of complications associated with tunneled catheters (Broviac) and PICC in home PN (HPN) patients. Methods All adult patients in an HPN program with a new Broviac or new PICC between 2009 and 2011 were included in this prospective observational study. Complication rates were compared by using Poisson regression and Kaplan Meier survival curves were used to compare the first complications that occurred. Results 204 catheters (133 Broviac and 71 PICC) were inserted in 196 adult patients. Mean follow-up from catheter insertions to their removal was 276 ± 219 days for Broviac ( n  = 86) vs. 74 ± 140.70 days for PICC ( n  = 56); p