Venous thrombosis during total parenteral nutrition with central venous catheters--role of nutritive solutions.
Contrast venograms were performed after removal of the catheter in 17 cases with isolated fever during a study of 187 patients treated by total parenteral nutrition with silicone central venous catheters. Thrombosis of the superior vena cava or of one of its collaterals was present in 7 cases and comparison with the 10 cases who had normal venograms showed a significant difference in the composition of the nutritive solutions infused. Patients with thrombosis received more hypertonic solutions with higher concentrations of glucose and nitrogen in their daily infusions.
Di Costanzo
J
J
Department of Nutritional Support, Clinique Résidence du Parc, rue Gaston Berger, 13010 Marseilles, France.
Cano
N
N
Martin
J
J
Vadon
D
D