Total intravenous hyperalimentation (TIH) complications in childhood: a radiological survey.
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.
D001170:Arthritis, Infectious / Q000209:etiology; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology; D002408:Catheters, Indwelling / Q000009:adverse effects; D002648:Child; D005122:Exudates and Transudates / Q000378:metabolism; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging / Q000378:metabolism; D010288:Parenteral Nutrition / Q000009:adverse effects*; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D011859:Radiography; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology; D014680:Veins / Q000293:injuries; D014683:Vena Cava, Superior