Gastroenterology
Volume 136, Issue 5 , Pages 1577-1584 , May 2009

Arteriovenous Fistulae as an Alternative to Central Venous Catheters for Delivery of Long-Term Home Parenteral Nutrition

  • Michelle W.J. Versleijen

      Affiliations

    • Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Getty J. Huisman–de Waal

      Affiliations

    • Department of IQ Healthcare, Nursing Science, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Mayke C. Kock

      Affiliations

    • Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Anneke J.M. Elferink

      Affiliations

    • Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Leo G. van Rossum

      Affiliations

    • Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Ton Feuth

      Affiliations

    • Department of Epidemiology, Biostatistics, and Human Technology Assessment, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Martine C. Willems

      Affiliations

    • Department of Vascular Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Jan B.M.J. Jansen

      Affiliations

    • Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
  • ,
  • Geert J.A. Wanten

      Affiliations

    • Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
    • Corresponding Author InformationReprint requests Address requests for reprints to: Geert J. A. Wanten, MD, PhD, MSc, Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands. fax: (31) 24 3540103

Received 28 August 2008 ,Accepted 5 February 2009.

References 

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  2. Holton D, Paton S, Conly J, et al. Central venous catheter-associated bloodstream infections occurring in Canadian intensive care units: a six-month cohort study. Can J Infect Dis Med Microbiol. 2006;17:169–176
  3. Tacconelli E, Tumbarello M, de Gaetano DK, et al. Morbidity associated with central venous catheter-use in a cohort of 212 hospitalized subjects with HIV infection. J Hosp Infect. 2000;44:186–192
  4. Tokars JI, Cookson ST, McArthur MA, et al. Prospective evaluation of risk factors for bloodstream infection in patients receiving home infusion therapy. Ann Intern Med. 1999;131:340–347
  5. Engels LG, Skotnicki SH, Buskens FG, et al. Home parenteral nutrition via arteriovenous fistulae. JPEN J Parenter Enteral Nutr. 1983;7:412–414
  6. Carsten CG, Taylor SM, Cull DL, et al. The surgically created arteriovenous fistula: a forgotten alternative to venous access. Ann Vasc Surg. 2004;18:635–639
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  8. Heizer WD, Orringer EP. Parenteral nutrition at home for 5 years via arteriovenous fistulae (Supplemental intravenous feedings for a patient with severe short bowel syndrome). Gastroenterology. 1977;72:527–532
  9. Tang VC, Morsy MA, Chemla ES. Using arteriovenous fistulae as a dual access for hemodialysis and total parenteral nutrition administration is feasible with a good outcome: a case series. J Vasc Access. 2007;8:305–308
  10. Baird RM, Rae AI, Chan-Yan C. Long-term parenteral nutrition with arteriovenous fistula. Am J Surg. 1980;139:637–640
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  12. Versleijen M, Vissers R, Wanten G. Excellent quality of life after 31 years of parenteral nutrition via an arteriovenous fistula. Eur J Clin Nutr. 2008;62:1254
  13. Wanten GJ, Willems M, Bisseling T, Vissers R. Taurolidine versus Heparin lock to prevent catheter-related bloodstream infections (CRBSI) in patients on home parental nutrition: a prospective randomized trial. Clin Nutr Suppl. 2008;3:16
  14. Bozzetti F, Mariani L, Bertinet DB, et al. Central venous catheter complications in 447 patients on home parenteral nutrition: an analysis of over 100,000 catheter days. Clin Nutr. 2002;21:475–485
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  16. Naber AH, Rings EH, George E, et al. Treatment of intestinal failure by total parenteral nutrition at home in children and adults [in Dutch]. Ned Tijdschr Geneeskd. 2005;149:385–390
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  18. Shirotani N, Iino T, Numata K, et al. Complications of central venous catheters in patients on home parenteral nutrition: an analysis of 68 patients over 16 years. Surg Today. 2006;36:420–424
  19. Ugur A, Marashdeh BH, Gottschalck I, et al. Home parenteral nutrition in Denmark in the period from 1996 to 2001. Scand J Gastroenterol. 2006;41:401–407
  20. Reimund JM, Arondel Y, Finck G, et al. Catheter-related infection in patients on home parenteral nutrition: results of a prospective survey. Clin Nutr. 2002;21:33–38
  21. Santarpia L, Pasanisi F, Alfonsi L, et al. Prevention and treatment of implanted central venous catheter (CVC)-related sepsis: a report after six years of home parenteral nutrition (HPN). Clin Nutr. 2002;21:207–211
  22. Buchman AL, Moukarzel A, Goodson B, et al. Catheter-related infections associated with home parenteral nutrition and predictive factors for the need for catheter removal in their treatment. JPEN J Parenter Enteral Nutr. 1994;18:297–302
  23. Stokes MA, Irving MH. Mortality in patients on home parenteral nutrition. JPEN J Parenter Enteral Nutr. 1989;13:172–175
  24. Modarai B, Dasgupta P, Taylor J, et al. Follow-up of polytetrafluoroethylene arteriovenous fistulae for haemodialysis. Int J Clin Pract. 2005;59:1005–1007

 Conflicts of interest The authors disclose no conflicts.

PII: S0016-5085(09)00183-8

doi: 10.1053/j.gastro.2009.02.005

Gastroenterology
Volume 136, Issue 5 , Pages 1577-1584 , May 2009