Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review

Autores
Pérez Illidge, Luis Carlos; Ramisch, Diego; Valdivieso, León; Guzman, Carlos; Antoni, Diego; Rumbo, Carolina; Trentadue, Julio; Solar, Héctor; Gentilini, Maria Virginia; Gondolesi, Gabriel Eduardo
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Type III Intestinal Failure (IF) is a devastating clinical condition.characterized by the inability of the gut to absorb necessary macronutrients, and/or water and electrolytes, requiring Parenteral Nutrition (PN) as chronic therapy. Long-term PN may lead to life-threatening complications; the loss of central venous access (LCVA) is the most frequent and challenging. To date, few studies in the literature have reported the relevance of Non-conventional Vascular Accesses (NCVA) in the management IF as part of the comprehensive multidisciplinary care. Methods: A retrospective analysis of a database collected from January 2006 to December 2019 was performed using SPSS v25.0 for statistical analysis, followed by a systematic review, using the PRISMA.methodology Results: From January 2006 to December 2019, 184 NCVA were placed in 71 patients with LCVA as IF-related complication; 173 were placed in 61 patients by interventional radiology (IR) and 11 NCVA were placed in 10 patients by the surgical team during the intestinal transplant (ITx) operation. From the 173 IR procedures 166 (95.9%) were successful with 3 ± 2.7 procedures/patient; average catheter permanence rate was 738.68 ± 997 days; complications related to the procedures occurred in 18/173 (10.4%), including two deaths. On the other hand, among the 11 NCVA implanted by the surgical team, 7 (64%) were successful and were safely withdrawn 30 days after ITx when were no longer needed; 2 (18%) catheters malfunctioned during the first week and could not be further used, and 1 was accidently removed; average catheter permanence rate was 26 ± 4 days. There was one complication (9%) requiring laparotomy; there was no mortality associated the procedure in this group. A systematic review was conducted to evaluate the success and safety of NCVA as part of the treatment of HPN-related complications; from 337,542 papers, 14 studies were included. A total of 28 HPN-patients with LCVA received NCVA; 34 procedures were successfully performed, while procedure-related complications were reported in 11.7%, as well as one death. Conclusions: The data analyzed show that NCVAs may be successfully placed by expert teams, allowing to sustain long-term PN, as well as increasing the Intestinal Transplantation applicability for candidates in the extreme need of vascular access.
Fil: Pérez Illidge, Luis Carlos. Universidad Favaloro; Argentina
Fil: Ramisch, Diego. Universidad Favaloro; Argentina
Fil: Valdivieso, León. Universidad Favaloro; Argentina
Fil: Guzman, Carlos. Universidad Favaloro; Argentina
Fil: Antoni, Diego. Universidad Favaloro; Argentina
Fil: Rumbo, Carolina. Universidad Favaloro; Argentina
Fil: Trentadue, Julio. Universidad Favaloro; Argentina
Fil: Solar, Héctor. Universidad Favaloro; Argentina
Fil: Gentilini, Maria Virginia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
Fil: Gondolesi, Gabriel Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
Materia
HOME PARENTERAL NUTRITION COMPLICATIONS
INTERVENTIONAL RADIOLOGY
LOSS OF VASCULAR ACCESSES
SMALL BOWEL
SUPERIOR VENA CAVA SYNDROME
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/181965
Acceder
id CONICETDig_b47a18b48e03f7ca3e565dbef2f6dd9b
oai_identifier_str oai:ri.conicet.gov.ar:11336/181965
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic reviewPérez Illidge, Luis CarlosRamisch, DiegoValdivieso, LeónGuzman, CarlosAntoni, DiegoRumbo, CarolinaTrentadue, JulioSolar, HéctorGentilini, Maria VirginiaGondolesi, Gabriel EduardoHOME PARENTERAL NUTRITION COMPLICATIONSINTERVENTIONAL RADIOLOGYLOSS OF VASCULAR ACCESSESSMALL BOWELSUPERIOR VENA CAVA SYNDROMEhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background: Type III Intestinal Failure (IF) is a devastating clinical condition.characterized by the inability of the gut to absorb necessary macronutrients, and/or water and electrolytes, requiring Parenteral Nutrition (PN) as chronic therapy. Long-term PN may lead to life-threatening complications; the loss of central venous access (LCVA) is the most frequent and challenging. To date, few studies in the literature have reported the relevance of Non-conventional Vascular Accesses (NCVA) in the management IF as part of the comprehensive multidisciplinary care. Methods: A retrospective analysis of a database collected from January 2006 to December 2019 was performed using SPSS v25.0 for statistical analysis, followed by a systematic review, using the PRISMA.methodology Results: From January 2006 to December 2019, 184 NCVA were placed in 71 patients with LCVA as IF-related complication; 173 were placed in 61 patients by interventional radiology (IR) and 11 NCVA were placed in 10 patients by the surgical team during the intestinal transplant (ITx) operation. From the 173 IR procedures 166 (95.9%) were successful with 3 ± 2.7 procedures/patient; average catheter permanence rate was 738.68 ± 997 days; complications related to the procedures occurred in 18/173 (10.4%), including two deaths. On the other hand, among the 11 NCVA implanted by the surgical team, 7 (64%) were successful and were safely withdrawn 30 days after ITx when were no longer needed; 2 (18%) catheters malfunctioned during the first week and could not be further used, and 1 was accidently removed; average catheter permanence rate was 26 ± 4 days. There was one complication (9%) requiring laparotomy; there was no mortality associated the procedure in this group. A systematic review was conducted to evaluate the success and safety of NCVA as part of the treatment of HPN-related complications; from 337,542 papers, 14 studies were included. A total of 28 HPN-patients with LCVA received NCVA; 34 procedures were successfully performed, while procedure-related complications were reported in 11.7%, as well as one death. Conclusions: The data analyzed show that NCVAs may be successfully placed by expert teams, allowing to sustain long-term PN, as well as increasing the Intestinal Transplantation applicability for candidates in the extreme need of vascular access.Fil: Pérez Illidge, Luis Carlos. Universidad Favaloro; ArgentinaFil: Ramisch, Diego. Universidad Favaloro; ArgentinaFil: Valdivieso, León. Universidad Favaloro; ArgentinaFil: Guzman, Carlos. Universidad Favaloro; ArgentinaFil: Antoni, Diego. Universidad Favaloro; ArgentinaFil: Rumbo, Carolina. Universidad Favaloro; ArgentinaFil: Trentadue, Julio. Universidad Favaloro; ArgentinaFil: Solar, Héctor. Universidad Favaloro; ArgentinaFil: Gentilini, Maria Virginia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; ArgentinaFil: Gondolesi, Gabriel Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; ArgentinaElsevier2021-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/181965Pérez Illidge, Luis Carlos; Ramisch, Diego; Valdivieso, León; Guzman, Carlos; Antoni, Diego; et al.; Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review; Elsevier; Clinical Nutrition ESPEN; 45; 10-2021; 275-2832405-4577CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2405457721002965info:eu-repo/semantics/altIdentifier/doi/10.1016/j.clnesp.2021.08.008info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-12-23T13:49:01Zoai:ri.conicet.gov.ar:11336/181965instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-12-23 13:49:01.555CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
title Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
spellingShingle Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
Pérez Illidge, Luis Carlos
HOME PARENTERAL NUTRITION COMPLICATIONS
INTERVENTIONAL RADIOLOGY
LOSS OF VASCULAR ACCESSES
SMALL BOWEL
SUPERIOR VENA CAVA SYNDROME
title_short Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
title_full Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
title_fullStr Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
title_full_unstemmed Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
title_sort Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review
dc.creator.none.fl_str_mv Pérez Illidge, Luis Carlos
Ramisch, Diego
Valdivieso, León
Guzman, Carlos
Antoni, Diego
Rumbo, Carolina
Trentadue, Julio
Solar, Héctor
Gentilini, Maria Virginia
Gondolesi, Gabriel Eduardo
author Pérez Illidge, Luis Carlos
author_facet Pérez Illidge, Luis Carlos
Ramisch, Diego
Valdivieso, León
Guzman, Carlos
Antoni, Diego
Rumbo, Carolina
Trentadue, Julio
Solar, Héctor
Gentilini, Maria Virginia
Gondolesi, Gabriel Eduardo
author_role author
author2 Ramisch, Diego
Valdivieso, León
Guzman, Carlos
Antoni, Diego
Rumbo, Carolina
Trentadue, Julio
Solar, Héctor
Gentilini, Maria Virginia
Gondolesi, Gabriel Eduardo
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv HOME PARENTERAL NUTRITION COMPLICATIONS
INTERVENTIONAL RADIOLOGY
LOSS OF VASCULAR ACCESSES
SMALL BOWEL
SUPERIOR VENA CAVA SYNDROME
topic HOME PARENTERAL NUTRITION COMPLICATIONS
INTERVENTIONAL RADIOLOGY
LOSS OF VASCULAR ACCESSES
SMALL BOWEL
SUPERIOR VENA CAVA SYNDROME
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Type III Intestinal Failure (IF) is a devastating clinical condition.characterized by the inability of the gut to absorb necessary macronutrients, and/or water and electrolytes, requiring Parenteral Nutrition (PN) as chronic therapy. Long-term PN may lead to life-threatening complications; the loss of central venous access (LCVA) is the most frequent and challenging. To date, few studies in the literature have reported the relevance of Non-conventional Vascular Accesses (NCVA) in the management IF as part of the comprehensive multidisciplinary care. Methods: A retrospective analysis of a database collected from January 2006 to December 2019 was performed using SPSS v25.0 for statistical analysis, followed by a systematic review, using the PRISMA.methodology Results: From January 2006 to December 2019, 184 NCVA were placed in 71 patients with LCVA as IF-related complication; 173 were placed in 61 patients by interventional radiology (IR) and 11 NCVA were placed in 10 patients by the surgical team during the intestinal transplant (ITx) operation. From the 173 IR procedures 166 (95.9%) were successful with 3 ± 2.7 procedures/patient; average catheter permanence rate was 738.68 ± 997 days; complications related to the procedures occurred in 18/173 (10.4%), including two deaths. On the other hand, among the 11 NCVA implanted by the surgical team, 7 (64%) were successful and were safely withdrawn 30 days after ITx when were no longer needed; 2 (18%) catheters malfunctioned during the first week and could not be further used, and 1 was accidently removed; average catheter permanence rate was 26 ± 4 days. There was one complication (9%) requiring laparotomy; there was no mortality associated the procedure in this group. A systematic review was conducted to evaluate the success and safety of NCVA as part of the treatment of HPN-related complications; from 337,542 papers, 14 studies were included. A total of 28 HPN-patients with LCVA received NCVA; 34 procedures were successfully performed, while procedure-related complications were reported in 11.7%, as well as one death. Conclusions: The data analyzed show that NCVAs may be successfully placed by expert teams, allowing to sustain long-term PN, as well as increasing the Intestinal Transplantation applicability for candidates in the extreme need of vascular access.
Fil: Pérez Illidge, Luis Carlos. Universidad Favaloro; Argentina
Fil: Ramisch, Diego. Universidad Favaloro; Argentina
Fil: Valdivieso, León. Universidad Favaloro; Argentina
Fil: Guzman, Carlos. Universidad Favaloro; Argentina
Fil: Antoni, Diego. Universidad Favaloro; Argentina
Fil: Rumbo, Carolina. Universidad Favaloro; Argentina
Fil: Trentadue, Julio. Universidad Favaloro; Argentina
Fil: Solar, Héctor. Universidad Favaloro; Argentina
Fil: Gentilini, Maria Virginia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
Fil: Gondolesi, Gabriel Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
description Background: Type III Intestinal Failure (IF) is a devastating clinical condition.characterized by the inability of the gut to absorb necessary macronutrients, and/or water and electrolytes, requiring Parenteral Nutrition (PN) as chronic therapy. Long-term PN may lead to life-threatening complications; the loss of central venous access (LCVA) is the most frequent and challenging. To date, few studies in the literature have reported the relevance of Non-conventional Vascular Accesses (NCVA) in the management IF as part of the comprehensive multidisciplinary care. Methods: A retrospective analysis of a database collected from January 2006 to December 2019 was performed using SPSS v25.0 for statistical analysis, followed by a systematic review, using the PRISMA.methodology Results: From January 2006 to December 2019, 184 NCVA were placed in 71 patients with LCVA as IF-related complication; 173 were placed in 61 patients by interventional radiology (IR) and 11 NCVA were placed in 10 patients by the surgical team during the intestinal transplant (ITx) operation. From the 173 IR procedures 166 (95.9%) were successful with 3 ± 2.7 procedures/patient; average catheter permanence rate was 738.68 ± 997 days; complications related to the procedures occurred in 18/173 (10.4%), including two deaths. On the other hand, among the 11 NCVA implanted by the surgical team, 7 (64%) were successful and were safely withdrawn 30 days after ITx when were no longer needed; 2 (18%) catheters malfunctioned during the first week and could not be further used, and 1 was accidently removed; average catheter permanence rate was 26 ± 4 days. There was one complication (9%) requiring laparotomy; there was no mortality associated the procedure in this group. A systematic review was conducted to evaluate the success and safety of NCVA as part of the treatment of HPN-related complications; from 337,542 papers, 14 studies were included. A total of 28 HPN-patients with LCVA received NCVA; 34 procedures were successfully performed, while procedure-related complications were reported in 11.7%, as well as one death. Conclusions: The data analyzed show that NCVAs may be successfully placed by expert teams, allowing to sustain long-term PN, as well as increasing the Intestinal Transplantation applicability for candidates in the extreme need of vascular access.
publishDate 2021
dc.date.none.fl_str_mv 2021-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/181965
Pérez Illidge, Luis Carlos; Ramisch, Diego; Valdivieso, León; Guzman, Carlos; Antoni, Diego; et al.; Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review; Elsevier; Clinical Nutrition ESPEN; 45; 10-2021; 275-283
2405-4577
CONICET Digital
CONICET
url http://hdl.handle.net/11336/181965
identifier_str_mv Pérez Illidge, Luis Carlos; Ramisch, Diego; Valdivieso, León; Guzman, Carlos; Antoni, Diego; et al.; Non-conventional vascular accesses for the management of superior vena cava syndrome in patients with Intestinal Failure: case series and systematic review; Elsevier; Clinical Nutrition ESPEN; 45; 10-2021; 275-283
2405-4577
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2405457721002965
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.clnesp.2021.08.008
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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