Repair of ruptured peritoneal dialysis catheter using a new manipulated material

Kang, Seok Hui; Kim, A Young; Young, Jun

doi:10.1111/sdi.12982

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…12-14 Asif et al reported a catheter repair method using a connector, while another study showed replacement of catheter segment using a beta-cap adapter from a PD catheter set. 13,14 The involvement of an external cuff or tunnel can be completely evaluated using imaging such as ultrasonography to determine the need or extent of procedure. In our study, preoperative evaluations of the involvement of the external cuff and/or tunnel were performed by inspection and physical examination of subcutaneous tract, and additional methods such as ultrasonography were not routinely performed.…”

Section: Discussionmentioning

confidence: 99%

“…However, these problems may be significantly attenuated by the replacement of a significant part of the catheter segment including a new external cuff. Previous studies presented methods for replacement of the catheter segment 12–14 . Asif et al reported a catheter repair method using a connector, while another study showed replacement of catheter segment using a beta‐cap adapter from a PD catheter set 13,14 …”

Section: Discussionmentioning

confidence: 99%

“…Previous studies presented methods for replacement of the catheter segment 12–14 . Asif et al reported a catheter repair method using a connector, while another study showed replacement of catheter segment using a beta‐cap adapter from a PD catheter set 13,14 …”

Section: Discussionmentioning

confidence: 99%

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Catheter salvage using revision for a peritoneal dialysis catheter with intractable exit site and/or tunnel infections

Kang

Cho

Kim

et al. 2022

Seminars in Dialysis

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Background In case of intractable exit site and/or tunnel infections, peritoneal dialysis (PD) catheter removal and re‐insertion are recommended. Previous studies have reported the possibility of catheter salvage before removal, but they were either case‐series or had a small sample size. Methods We identified all incident patients with PD who underwent revision at a tertiary medical center. In intractable exit site and/or tunnel infections, we tried catheter revision using a method with cuff shaving, using an original catheter, and creating a new tunnel. Revision success was defined as complete remission over more than 1 month after revision. We evaluated the infection‐free and catheter survival rates. Results In total, 52 patients with PD underwent revision. The median age at the time of revision in the patients undergoing PD was 51 (21) years. There were 43 (82.7%) cases of revision success. Infection‐free survival rates at 6 and 12 months were 57.0% and 35.1%, respectively. Catheter survival rates at 12 and 36 months were 72.5% and 56.2%, respectively. Conclusion The present study demonstrated that catheter revision can be a useful bridging method for original catheter salvage before catheter removal in intractable exit site and/or tunnel infections.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Catheter salvage using revision for a peritoneal dialysis catheter with intractable exit site and/or tunnel infections

Kang

Cho

Kim

et al. 2022

Seminars in Dialysis

Self Cite

View full text Add to dashboard Cite

show abstract

“…Nevertheless, our procedure does not completely exclude infectious materials in the original catheter segment, which is associated with complications of infection after the procedure. Although our patients who underwent revision used fully original catheters, partial replacement of the catheter segment, as described in previous studies, could be another option for decreasing recurrent infection after revision for tunnel exposure [ 11 – 13 ]. Patients with a high risk for recurrent infection should consider catheter removal and reinsertion; however, those with low or moderate risk for recurrent infection may consider revision with or without partial replacement of the catheter as an alternative option for tunnel exposure.…”

Section: Discussionmentioning

confidence: 99%

Peritoneal dialysis catheter salvage performed by nephrologists in tunnel exposure management

2022

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Background Tunnel exposure, a non-infectious complication, is a rare finding in peritoneal dialysis (PD) patients, which has been described in some case reports. Our study aimed to present catheter salvage therapy using a revision procedure of tunnel exposure by nephrologists. Methods Our retrospective study was conducted between July 1998 and October 2021. We identified all PD patients with tunnel exposure from a database of a tertiary medical center. Tunnel exposure was diagnosed following gross inspection by clinicians during outpatient consultations. We attempted revision with partial external cuff shaving and creating a new tunnel without catheter change. Results Fourteen cases in 12 patients were diagnosed as tunnel exposure. The median age at presentation of tunnel exposure was 51 years. Eleven patients underwent revision, and the PD catheter was removed in one patient. The patients who underwent revision were followed up for 6 months. The catheter salvage rate was 72.7%. Conclusions The present study demonstrated that catheter revision performed by nephrologists could be a valuable alternative for original catheter salvage before considering catheter removal in tunnel exposure management.

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Risk factors, management and outcomes for peritoneal dialysis access damage

Liao,

Zhou,

Liu

et al. 2024

Renal Failure

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Objectives: Peritoneal dialysis (PD) access damage is an uncommon complication of PD. This study aimed to describe the characteristics, management and outcomes of PD access damage. Methods: This retrospective study included patients who suffered from PD access damage between January 2018 and January 2024 at the PD Center of West China Hospital. Patient characteristics and access damage information were collected from medical records. Results: A total of 128 PD patients without PD access damage were included in the control group. A total of 45 patients (51% male; aged 58 ± 14 years) suffered from 49 cases of PD access damage. Multivariate logistic analysis revealed that previous peritonitis [odds ratio (OR) 3.93; 95% confidence interval (CI) 1.56 to 9.94] and assisted PD (OR 4.20; 95% CI 1.25 to 14.12) were risk factors, while catheter belt use (OR 0.16; 95% CI 0.06 to 0.44) and training frequency per year (0.34; 95% CI 0.19 to 0.64) were protective factors against PD access damage. Managements included cutting and repairing ( N = 24), transfer set replacement ( N = 11), catheter removal ( N = 9) and catheter replacement ( N = 4). Thirty-nine patients continued with PD after access repair and were followed up for a median of 35 months. The repaired access functioned well during follow-up. Conclusions: In conclusion, to avoid PD access damage, catheter belt and routine retraining are recommended. Once PD access damage is identified, patients should clamp the catheter, take prophylactic antibiotics and resort to the treatment team. The treatment team should evaluate PD access and handle it according to a clinical protocol.

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Repair of ruptured peritoneal dialysis catheter using a new manipulated material

Cited by 3 publications

References 2 publications

Catheter salvage using revision for a peritoneal dialysis catheter with intractable exit site and/or tunnel infections

Catheter salvage using revision for a peritoneal dialysis catheter with intractable exit site and/or tunnel infections

Peritoneal dialysis catheter salvage performed by nephrologists in tunnel exposure management

Risk factors, management and outcomes for peritoneal dialysis access damage

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