Children (May 2022)

Difficult Vascular Access in Children with Short Bowel Syndrome: What to Do Next?

  • Chiara Grimaldi,
  • Francesca Gigola,
  • Kejd Bici,
  • Chiara Oreglio,
  • Riccardo Coletta,
  • Antonino Morabito

DOI
https://doi.org/10.3390/children9050688
Journal volume & issue
Vol. 9, no. 5
p. 688

Abstract

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Short Bowel Syndrome and intestinal failure are chronic and severe conditions that may require life-long parenteral nutrition in children. Survival of these children rely on the correct functioning of central venous catheters; therefore, careful management, prevention, and treatment of complications is of paramount importance. Despite a growing awareness of preserving the vascular real estate, a certain number of patients still experience a progressive and life-threatening exhaustion of vascular access. We searched the literature to highlight the current management of children with vascular exhaustion, specifically focusing on vascular access salvage strategies and last-resource alternative routes to central veins. Given the paucity of data, results are reported in the form of a narrative review.

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