Repair of damaged central venous catheters is safe and doubles catheter survival: a home parenteral nutrition patient cohort study

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Yannick WoutersGeert J A Wanten

Abstract

Repeated central venous catheter loss due to complications, including material breakage, compromises the options to obtain adequate vascular access in home parenteral nutrition (HPN) patients. It remains unclear whether repair of damaged catheters is an effective strategy to extend catheter survival, avoid surgical replacement and maintain venous access. The aim of this study was to evaluate the effectiveness and safety of catheter repair in our cohort of intestinal failure patients. We conducted a retrospective analysis of all catheter repairs that were performed between 2006 and 2017 at our tertiary referral centre for intestinal failure. Primary outcome was the additional median catheter survival after catheter repair, as calculated with Kaplan-Meier analyses. Secondary outcomes included risk for central line-associated bloodstream infections (CLABSIs) and risk factors for catheter damage, as calculated with Poisson regression analyses. CLABSI rates in post-repair periods were compared with pre-repair periods. Pre- and post-repair periods were either short-term (30 days), or long-term (whole catheter period). A total of 58 repairs in 41 catheters of 35 HPN patients were included in the analysis. The median time to first repa...Continue Reading

Citations

May 11, 2019·JPEN. Journal of Parenteral and Enteral Nutrition·Yannick WoutersGeert J A Wanten
Mar 14, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jianbo YangXinying Wang
Feb 9, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jane FletcherSheldon C Cooper
Mar 19, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Velarchana SanthanaRiad Rahhal

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