Best Practices Consensus Protocol for Peritoneal Dialysis Catheter Placement by Interventional Radiologists

Abstract

Peritoneal dialysis (PD) catheters can be placed by interventional radiologists, an approach that might offer scheduling efficiencies, cost-effectiveness, and a minimally invasive procedure. In the United States, changes in the dialysis reimbursement structure by the Centers for Medicare and Medicaid Services are expected to result in the increased use of PD, a less costly dialysis modality that offers patients the opportunity to receive dialysis in the home setting and to have more independence for travel and work schedules, and that preserves vascular access for future dialysis options.

Peritoneal Dialysis for Acute Kidney Injury Treatment in the United States: Brought to You by the COVID-19 Pandemic

“…Therefore, percutaneous catheter insertion with or without image guidance may be considered for peritoneal access 29,30 . Although experience with percutaneous placement is not as widespread, it is a technique that can be performed at bedside or in the radiology suite by surgeons, interventional radiologists, or interventional nephrologists who have learnt these techniques for the first time during the COVID-19…”

Peritoneal Dialysis in Austere Environments: An Emergent Approach to Renal Failure Management

“… 25 Available in single- and double-cuffed designs, the latter is preferred for its additional anchor point in the preperitoneal space, added barrier to infection, and improved overall patient satisfaction. 4 , 7 , 26 Though more expensive than rigid catheters, and requiring a tunneled insertion, the flexible catheter is associated with lower rates of complication. 7 …”

Peritoneal Dialysis

“…Abdel-Aal et al published a detailed consensus for the technique of PD catheter placement by interventional radiologists. 5 Prior to the procedure, the patient is interviewed and examined to determine if there are any potential contraindications to PD catheter placement or any warning signs that a percutaneous approach may be difficult. Clinical contraindications include inflammatory abdominal processes such as Crohn disease, ulcerative colitis, current clostridium difficile infection, and end-stage liver disease with ascites.…”