The Red Section | Published:

Choosing the Right Central Venous Catheter for Parenteral Nutrition

The American Journal of Gastroenterology (2018) | Download Citation


Access optionsAccess options

Rent or Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.


  1. 1.

    Dudrick SJ. Early developments and clinical applications of total parenteral nutrition. JPEN J Parenter Enter Nutr. 2003;27:291–9.

  2. 2.

    Broviac JW, Cole JJ, Scribner BH. A silicone rubber atrial catheter for prolonged parenteral alimentation. Surg Gynecol Obstet. 1973;136:602–6.

  3. 3.

    Cohen AB, Dagli M, Stavropoulos SW Jr et al. Silicone and polyurethane tunneled infusion catheters: a comparison of durability and breakage rates. J Vasc Interv Radiol. 2011;22:638–41.

  4. 4.

    Denny DF Jr. Placement and management of long-term central venous access catheters and ports. AJR Am J Roentgenol. 1993;161:385–93.

  5. 5.

    Chopra V, Anand S, Hickner A et al. Risk of venous thromboembolism associated with peripherally inserted central catheters: a systematic review and meta-analysis. Lancet. 2013;382:311–25.

  6. 6.

    Pittiruti M, Hamilton H, Biffi R et al. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr. 2009;28:365–77.

  7. 7.

    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;21:207–11.

  8. 8.

    Buchman AL, Opilla M, Kwasny M et al. Risk factors for the development of catheter-related bloodstream infections in patients receiving home parenteral nutrition. JPEN J Parenter Enter Nutr. 2014;38:744–9.

  9. 9.

    John BK, Khan MA, Speerhas R et al. Ethanol lock therapy in reducing catheter-related bloodstream infections in adult home parenteral nutrition patients: results of a retrospective study. JPEN J Parenter Enter Nutr. 2012;36:603–10.

  10. 10.

    Baumann Kreuziger L, Jaffray J, Carrier M. Epidemiology, diagnosis, prevention and treatment of catheter-related thrombosis in children and adults. Thromb Res. 2017;157:64–71.

  11. 11.

    Matsuo N, Nakanishi K, Kurosawa H et al. Femoral tunneled central venous catheters for terminally ill patients with cancer. J Palliat Med. 2012;15:1173–7. 10.089/jpm.2012.0106.

  12. 12.

    Mauro MA, Jaques PF. Radiologic placement of long-term central venous catheters: a review. J Vasc Interv Radiol. 1993;4:127–37.

  13. 13.

    Herc E, Patel P, Washer LL et al. A model to predict central-line-associated bloodstream infection among patients with peripherally inserted central catheters: the MPC Score. Infect Control Hosp Epidemiol. 2017;38:1155–66.

  14. 14.

    Ryder M. Evidence-based practice in the management of vascular access devices for home parenteral nutrition therapy. JPEN J Parenter Enter Nutr. 2006;30(1 Suppl):S82–93. s8-9.

  15. 15.

    Safdar N, O’Horo JC, Ghufran A et al. Chlorhexidine-impregnated dressing for prevention of catheter-related bloodstream infection: a meta-analysis. Crit Care Med. 2014;42:1703–13. 10.097/CCM.0000000000000319.

Download references


We thank Dr. Edwin McDonald for his assistance in figure preparation.

Author information


  1. Section of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, University of Chicago Medicine, Chicago, IL, 60637, USA

    • Dejan Micic MD
    •  & Carol Semrad MD
  2. Department of Internal Medicine, Division of Hospital Medicine, Michigan Medicine, Ann Arbor, MI, 48109, USA

    • Vineet Chopra MD, MSc


  1. Search for Dejan Micic MD in:

  2. Search for Carol Semrad MD in:

  3. Search for Vineet Chopra MD, MSc in:


Guarantor of the article: Dejan Micic, MD.

Specific author contributions: All authors contributed equally to mansucript creation.

Financial support: None.

Potential competing interests: None.

Corresponding author

Correspondence to Dejan Micic MD.

About this article

Publication history