Malpositioned Peritoneal Dialysis Catheters: A Critical Reappraisal of Correction by Stiff-Wire Manipulation

Moss, Joseph S.; Minda, Sharon; Newman, Glenn E.; Dunnick, N. Reed; Vernon, Walter B.; Schwab, Steve J.

doi:10.1016/s0272-6386(12)80075-8

Cited by 70 publications

(39 citation statements)

References 5 publications

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“…When the conservative measures failed, either fluoroscopy-guided wire manipulation or laparoscopic surgery is available to correct the malfunctioning CAPD catheter. Different success rates of fluoroscopyguided wire manipulation have been reported, ranging from 27 to 67% [6,[8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Use of Fluoroscopy-Guided Wire Manipulation and/or Laparoscopic Surgery in the Repair of Malfunctioning Peritoneal Dialysis Catheters

et al. 2002

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Background: Peritoneal catheter is the lifeline for the continuous ambulatory peritoneal dialysis (CAPD) patients. Over the years, obstruction or displacement of the CAPD catheter has been one of the common complications of CAPD. Fluoroscopy-guided wire manipulation or laparoscopic surgery has been developed to manage outflow obstruction. We analyzed the catheter outcome of fluoroscopy-guided wire manipulation or laparoscopic surgery to determine the ultimate benefit of these procedures. Methods: From June 1996 to August 2000, catheter complications were manipulated in 24 patients. Eleven (46%) of these patients were initially managed by guide wire under fluoroscopic control. The remaining 13 (54%) patients were manipulated by laparoscopic surgery. A successful outcome was defined as maintained normal peritoneal catheter function at 30 days after the manipulations. Among the catheters manipulated, 18 (75%) were inserted by nephrologist and 6 (25%) by surgeons at the initiation of CAPD. Tenckhoff double-cuff peritoneal catheters were inserted to all patients. Results: The time elapsed between catheter insertion and manipulation varied from 1 to 60 days with a mean of 11 days. The primary causes of catheter malfunction were kinking in 1 case, omental wrapping with adhesions in 9 cases, and catheter displacements in the remaining 14 cases. Thirty-day catheter function was achieved in 50% (12/24) of initial catheter manipulations, with guide wire under fluoroscopic control (46%, 5/11) and laparoscopic surgery (54%, 7/13). Overall success rate of repeated manipulation was 71% (17 of 24). Conclusion: The successful outcome in repairing of the malfunctioning CAPD catheters could be increased by the combination of fluoroscopy-guided wire manipulation and laparoscopic surgery.

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Section: Introductionmentioning

confidence: 99%

“…Until now, the success rate of fluoroscopy-guided wire manipulation and laparoscopic surgery have been varied from report to report [6,[8][9][10][11][12]. In addition, there are few studies comparing the success rates of fluoroscopy-guided wire manipulation or laparoscopic surgery in repairing the malfunctioning CAPD catheters.…”

Section: Introductionmentioning

confidence: 99%

Use of Fluoroscopy-Guided Wire Manipulation and/or Laparoscopic Surgery in the Repair of Malfunctioning Peritoneal Dialysis Catheters

et al. 2002

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“…The rate of initial success with fluoroscopic guide-wire manipulation is in the range of 60 to 85%, but the improvement is often short lived and the long-term patency rate is Ͻ50% in most series. 8 Laparoscopic salvage of malfunctioning catheters is increasingly popular, with reported success rates of Ͼ80%, although rates of recurrent obstruction vary widely.…”

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confidence: 99%

Noninfectious Complications of Peritoneal Dialysis

McCormick

Bargman

2007

Journal of the American Society of Nephrology

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“…However, recurrence is common and may require replacing through a new exit site. Nonsurgical manipulation of catheter position using a stiff guide wire under fluoroscopic guidance has also been reported 56 . A swan neck catheter is now recommended for recurrent malpositioning 57 .…”

Section: Loss Of Functional Peritoneummentioning

confidence: 98%

Role of Ultrafiltration in Peritoneal Dialysis: A Review

Kumar¹

2017

jmscr

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Malpositioned Peritoneal Dialysis Catheters: A Critical Reappraisal of Correction by Stiff-Wire Manipulation

Cited by 70 publications

References 5 publications

Use of Fluoroscopy-Guided Wire Manipulation and/or Laparoscopic Surgery in the Repair of Malfunctioning Peritoneal Dialysis Catheters

Use of Fluoroscopy-Guided Wire Manipulation and/or Laparoscopic Surgery in the Repair of Malfunctioning Peritoneal Dialysis Catheters

Noninfectious Complications of Peritoneal Dialysis

Role of Ultrafiltration in Peritoneal Dialysis: A Review

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