Peritoneal dialysis catheter insertion using a very-low-site approach: a 5-year experience

Gong, Ling; Lu, Jingkui; Tang, Weigang; Xu, Wei; Xu, Ming; Ma, Guixiang

doi:10.1007/s11255-019-02164-8

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…The catheter tip migration-induced catheter malfunction inevitably compromises fluid drainage. A number of reports have described techniques for the prevention of catheter dislocation [7,8,[16][17][18][19][20][21][22][23], however, remedial measures in the event of this complication are not well documented. Apart from reimplantation of a new catheter by surgical and non-surgical treatment, other modalities included manual reduction, appropriate exercises, and purgative enema.…”

Section: Discussionmentioning

confidence: 99%

A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study

Al‐Hwiesh,

Abdul‐Rahman,

Divino‐Filho

et al. 2023

Ther Apher Dial

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IntroductionPD catheter tip migration is a common complication and a significant cause of catheter malfunction. In this perspective, we present our experience with a new catheter and a new technique that involves the use of a new triple cuff PD catheter and a low entry site in an attempt to prevent PD catheter migration.MethodsA total of 503 incident PD patients have been studied in more than one PD center over a period of 5 years.ResultsDuring the 5‐year follow up we recorded zero percent catheter migration. Other technical complications were poor drainage in 3.4%, omental wrap in 2.8%, early leakage in 3.4%, and catheter replacement in 2.4%. By the end of the study, the one‐year PD catheter survival was 97.6%.ConclusionOur new triple cuff PD catheter and our low‐entry approach seem to be effective in preventing PD catheter migration and minimizing other mechanical complications.

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Section: Discussionmentioning

confidence: 99%

A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study

Al‐Hwiesh,

Abdul‐Rahman,

Divino‐Filho

et al. 2023

Ther Apher Dial

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“…Some studies have reported using the "very low site approach" to reduce the risk of catheter migration. With this approach, the catheter is inserted a few centimeters above the suprapubic margin, reducing the risk of catheter migration [13][14][15]. This approach requires an adaptative catheter cut extending from the insertion point at the peritoneum to the pelvic floor.…”

Section: Insert Positionmentioning

confidence: 99%

How to Prevent Peritoneal Dialysis Catheter Tip Migration: A Japanese Perspective

Ito¹,

Koshika²

2021

Kidney and Dialysis

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The prevention of peritoneal dialysis (PD) catheter complications is essential to achieve a successful outcome. In recent years, nephrologists have performed more PD catheter insertion surgeries in Japan. The prevention of catheter complications is crucial for nephrologists who do not have all-around surgical skills. PD catheter tip migration is a common complication and a significant cause of catheter malfunction. Several preventive techniques have been reported for the PD catheter tip migration. This perspective described the following: (1) surgical technique in laparotomy, (2) laparoscopic surgery, (3) peritoneal wall anchor technique, and (4) catheter type selection. We hope that more effective methods of preventing catheter complications will be developed to ensure the success of PD treatment.

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Low-site versus traditional peritoneal dialysis catheterization

et al. 2020

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Background: The objective of this study was to compare the complications of low-site peritoneal dialysis (PD) catheter placement and traditional open surgery in peritoneal dialysis catheter insertion. Methods: The following databases were searched from inception to September 6, 2019: PubMed, Embase, the Cochrane Library, China National Knowledge Infrastructure, and Wanfang. Eligible studies comparing low-site PD catheter placement and traditional open surgery in peritoneal dialysis catheter insertion were included. The data were analyzed using Review Manager Version 5.3. Results: Seven studies were included in the meta-analysis. A total of 504 patients were included in the low-site PD catheter placement group, and 325 patients were included in the traditional open surgery group. Compared with traditional open surgery, low-site PD catheter placement had a lower incidence rate of catheter displacement (odds ratios [OR] 0.11, 95% CI 0.05–0.22, P < .01) and noncatheter displacement dysfunction (OR 0.11, 95% CI 0.04–0.31, P < .01). However, there was no difference between the 2 catheter insertion methods concerning bleeding (OR 0.53, 95% CI 0.23–1.22, P = .13), PD fluid leakage (OR 0.40, 95% CI 0.15–1.10, P = .07), hypogastralgia (OR 0.95, 95% CI 0.32–2.80, P = .93), peritonitis (OR 0.70, 95% CI 0.32–1.54, P = .38), or exit-site and tunnel infections (OR 0.39, 95% CI 0.14–1.03, P = .06). Conclusion: Low-site PD catheter placement reduced the risk of catheter displacement and noncatheter displacement dysfunction and did not increase the risk of bleeding, PD fluid leakage, hypogastralgia, peritonitis, or exit site and tunnel infections. Additional large multicenter randomized controlled trials are needed to confirm these conclusions.

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Peritoneal dialysis catheter insertion using a very-low-site approach: a 5-year experience

Cited by 3 publications

References 18 publications

A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study

A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study

How to Prevent Peritoneal Dialysis Catheter Tip Migration: A Japanese Perspective

Low-site versus traditional peritoneal dialysis catheterization

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