Effects of early detection of peritoneal catheter migration on clinical outcomes: 15‐years experiences from a single centre

Ko, Youngkyung; Kim, Young‐Baek; Shin, Won‐Jae; Lim, Chae‐Ho; Cheon, Woong; Park, Jung Hwan; Lee, Jong‐Ho; Jo, Young-Il

doi:10.1111/nep.13627

Cited by 7 publications

(9 citation statements)

References 18 publications

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“…We found that catheter migration was the most common early complication. This finding is similar to the results of a retrospective study by Ko et al 8 who followed 135 patients for 5 years and found that 85.9% of catheter migration occurred in the first 2 weeks after catheter insertion. Crabtree 17 believed that the main reason for catheter migration was that blind penetration might lead to excessive bending of the catheter in the subcutaneous track and incorrect placement of the catheter tip.…”

Section: Discussionsupporting

confidence: 91%

“…6 Peritonitis and catheter-related complications are the main factors affecting the prognosis of patients on peritoneal dialysis. 7 The incidence of catheter migration can be as high as 48%, 8 and leakage occurs in up to 20% of patients on peritoneal dialysis. 9 To reduce the complications of peritoneal dialysis, previous studies mostly focused on improving the catheterization method.…”

Section: Introductionmentioning

confidence: 99%

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Establishment of a prediction model for early and mid-term complications for patients undergoing catheter insertion for peritoneal dialysis

Liu

Zhou

et al. 2021

J Int Med Res

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Objective To investigate the factors involved in early and mid-term complications after catheter insertion for peritoneal dialysis and to establish prediction models. Methods A total of 158 patients with peritoneal dialysis in the Department of Nephrology of our hospital were retrospectively analyzed. General information, laboratory indices, early complications (within 1 month after the operation), mid-term complications (1–6 months after the operation), and other relevant data were recorded. Multivariate logistic regression analysis was performed to establish a prediction model of complications and generate a nomogram. Receiver operating characteristic (ROC) curve analysis was used to evaluate the efficacy of the model. Results Among the patients, 48 (30.8%) had early complications, which were mainly catheter-related complications, and 29 (18.4%) had mid-term complications, which were mainly abdominal infection and catheter migration. We constructed a prediction model for early complications (area under the curve = 0.697, 95% confidence interval: 0.609–0.785) and mid-term complications (area under the curve = 0.730, 95% confidence interval: 0.622–0.839). The sensitivity was 0.750 and 0.607, and the specificity was 0.589 and 0.765, respectively. Conclusions Our prediction model has clinical significance for risk assessment of early and mid-term complications and prevention of complications after catheterization for peritoneal dialysis.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Establishment of a prediction model for early and mid-term complications for patients undergoing catheter insertion for peritoneal dialysis

Liu

Zhou

et al. 2021

J Int Med Res

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“…The catheter survival rates at 5 years mentioned in literature are variable, ranging from 27% to 70.0%. [ 33 34 ] The factor contributing to wide variability of catheter survival between different centers is associated with the experience of centers in PD and number of patients undergoing PD per day. The centers with less than 20 patients on PD had lower technical survival rates in comparison to large centers.…”

Section: Discussionmentioning

confidence: 99%

“…The centers with less than 20 patients on PD had lower technical survival rates in comparison to large centers. [ 16 33 34 ] Our center with 20 years of experience in PD has good numbers of PD patients, which may explain our favorable catheter survival rates. The survival of patients on PD at 5 years mentioned in literature is variable, ranging from 11% to 78%.…”

Section: Discussionmentioning

confidence: 99%

Continuous ambulatory peritoneal dialysis catheter insertion by open technique

Pahwa

Singh

Tyagi

et al. 2023

Indian Journal of Urology

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Introduction: Continuous ambulatory peritoneal dialysis (CAPD) catheter placement is a part of renal replacement therapy. We describe our 20-year experience in using the open technique and assess its safety, efficacy, and outcome in the treatment of end-stage renal disease patients. Methods: In a retrospective study, we analyzed data of all patients who had a CAPD catheter placed using our open dissection technique using local anesthesia over the previous 20 years, with minimum 1 year of follow-up. Intraoperative data, postoperative data, and complications were noted. Results: A total of 1410 cases were included in the study. The mean duration of follow-up was 72 ± 18 months (range 12–120 months). The mean operative time was 19 ± 7.5 min and mean hospital stay was 3 ± 1 days. No major intraoperative complications were noted. We observed a peritonitis rate of 0.49 episodes/patient/year. The most common reason for permanent catheter removal was refractory peritonitis in 21%, followed by flow failure in 7%, and ultrafiltration failure in 6.5%. The death-censored technical survival rate was 94.3%, 83.2%, 75.9%, 69.2%, and 60.6% patients at 1 year, 2 years, 3 years, 4 years, and 5 years, respectively. Conclusions: The open dissection method of peritoneal dialysis catheter insertion using local anesthesia at well-experienced center is a simple, painless, and uncomplicated procedure with excellent outcomes. Optimal exposure, judicious use of energy source, and using appropriate technique provide good technical success rate with lesser complications.

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“…Consistent with the results of Medani et al [ 10 ], in this study, the modified Seldinger technique can significantly reduce catheter-related complications within one month postoperatively, especially the occurrence of catheter migration, compared with open surgery method. It has been reported that the incidence of catheter migration after peritoneal dialysis is 5-35 %, of which 85.9 % occurs in the first two weeks after catheter insertion [ 29 , 30 ]. Our results showed that the incidence of catheter migration in modified Seldinger group was 9.1 %, which was significantly lower than that of the other two groups, but there was no significant difference among the three groups ( P = 0.069).…”

Section: Discussionmentioning

confidence: 99%

Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications

Liu

Zhou

et al. 2021

BMC Nephrol

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BackgroundConsidering that current peritoneal dialysis has its own shortcomings, In this study, the Seldinger technique was modified to explore the relationship between different catheter placement methods of peritoneal dialysis and short-term postoperative complications.MethodsWe retrospectively analyzed the data of 157 patients who received peritoneal dialysis in the Department of Nephrology of our hospital from January 2017 to December 2019. According to different catheter placement methods, the patients were divided into three groups: 111 cases of open surgery technique, 23 cases of Seldinger technique, and 23 cases of modified Seldinger technique (ultrasound-guided Veress needle puncture). The general data, laboratory indexes, and abdominal infection and catheter-related complications within one month postoperatively were collected.ResultsThere were 48 (31.0 %) cases of complications in 157 patients within one month postoperatively, which were mainly catheter-related complications (45 cases, 29.0 %). The incidence of catheter tip peritoneal drift (catheter migration) in the three groups was 27.3 %, 39.1 %, and 9.1 %, respectively, with no significant difference between groups (P = 0.069). Univariate logistic regression analysis showed that the systolic blood pressure, history of abdominal and pelvic surgery, creatinine, and modified Seldinger technique were possible impact factors of catheter migration (P < 0.10). After fully adjusting for confounding factors, Compared with the open surgery group, the modified Seldinger method group significantly reduced the risk of catheter migration with an OR of 0.161 (95 % confidence interval: 0.027–0.961,P = 0.045); However, the difference between the Seldinger method group and the open surgery group was not significant, with an OR of 1.061 (95 % confidence interval: 0.308–3.649,P = 0.926). Curve fitting showed that the average incidence of catheter migration in the three groups was 27.3 % (95% CI: 15.9-42.7 %), 28.5 % (95% CI: 10.7-56.9 %), and 5.7 % (95% CI: 1.0-27.0 %); the modified Seldinger method has the lowest average incidence of catheter migration.ConclusionsModified Seldinger technique can significantly reduce catheter-related short-term complications after peritoneal dialysis, and it is especially effective in reducing the incidence of catheter migration. Modified Seldinger technique is a safe and feasible method for the placement of a peritoneal dialysis catheter.

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Effects of early detection of peritoneal catheter migration on clinical outcomes: 15‐years experiences from a single centre

Cited by 7 publications

References 18 publications

Establishment of a prediction model for early and mid-term complications for patients undergoing catheter insertion for peritoneal dialysis

Establishment of a prediction model for early and mid-term complications for patients undergoing catheter insertion for peritoneal dialysis

Continuous ambulatory peritoneal dialysis catheter insertion by open technique

Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications

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