Continuous Ambulatory Peritoneal Dialysis in Patients after Infra-Abdominal Prosthetic Vascular Graft Surgery

Abstract

The purpose of this study was to assess the feasibility of continuous ambulatory peritoneal dialysis (CAPD) after intra-abdominal prosthetic vascular graft surgery. We report 8 consecutive patients with end-stage renal disease, who previously underwent intra-abdominal prosthetic aortic graft replacement, treated by CAPD between November 1983 and November 1994. All patients received a peritoneal dialysis catheter without technical problems and were dialyzed for a total of 208 months. Six episodes of peritonitis occurred in 4 patients without clinical evidence of any abdominal aortic graft infection. Three patients developed intermittent claudication and 2 died of myocardial infarct. A similar peritonitis and cardiovascular complication rate was observed in a control group of age- and sex-matched CAPD patients with no aortic prosthesis. We conclude that CAPD is feasible in patients with abdominal aortic prosthesis.

Guidelines for laparoscopic peritoneal dialysis access surgery

“…However, the use of PD may offer considerable advantages in these patients including better hemodynamic control and avoidance of anti-coagulation. There have been three retrospective reviews that have shown no significant risk in using PD in patients with past history of open abdominal aortic aneurysm (AAA) repair [39][40][41]. In fact, in one study of 8 patients revealed that there were six episodes of peritonitis without clinical evidence of graft infection [39].…”