Sp456the Saudi Peritoneal Dialysis Catheter: Modified Catheter and New Technique: Farewell to Catheter Migration

Al-Hwiesh, Abdullah K; Nasreldin, Mohamed Ahmed

doi:10.1093/ndt/gfw171.27

Cited by 3 publications

(3 citation statements)

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“…In a previous publication, we reported an 18-month experience with our new catheter vs. the conventional Tenckhoff catheter [17]. The three-cuff PD catheter had zero rate of catheter migration or displacement.…”

Section: Discussionmentioning

confidence: 81%

“…In addition, the new catheter survival exceeded the ISPD recommendation. From December 2012, our new catheter was used for all incident PD patients [17]. Tenckhoff catheters have been the most widely used since the 1970s.Despite improvement in catheter survival rate over the last few years, complications such as catheter displacement erupted as one of the major causes of peritoneal dialysis technique failure [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…We, at King Fahd Hospital of the University, developed a new PD catheter and a new technique for laparoscopic catheter insertion. The new catheter is three-cuffed and the new method totally eliminated the possibility of catheter-tip migration and significantly reduced the incidence of peritonitis in addition and hence improved catheter technical survival [17]. The objective of the current study was to share our 3-year experience with the 3-cuff low-entry-site new PD catheter that demonstrated zero migration, low peritonitis rates and high catheter survival.…”

Section: Introductionmentioning

confidence: 99%

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A Novel three Cuff Peritoneal Dialysis Catheter with Low Entry Technique: Three Years Single Center Experience

Al-Hwiesh¹,

Abdul-Rahman²,

Audah³

et al. 2017

UNOAJ

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Objective: To share our 3-year experience with the new, three-cuff peritoneal dialysis (PD) catheter with the low-entry technique and to study its effect on infectious and non-infectious complications as well as its impact on catheter survival.Methods: This is an observational study which was carried out in a university hospital over 3 years. The study involved 153, three-cuff PD catheter insertions in 150 incident PD patients. The study was carried out in our PD center and extended from December, 2012 till January 2016 with a mean follow-up period of 15 months. All patients used automated peritoneal dialysis (APD). Throughout the study, we analyzed survival rate, functionality and complication profile of our new catheter.Results: Four patients had inguinal hernia and 1 had omental wrapping. Catheter migration, however, was 0.0% with our 3-cuff PD catheter using our new technique. A total of 25 catheters had to be removed. Indications for catheter removal were successful transplantation (n =7), hernia (n =4), omental capture (n =1), ultrafiltration failure (n= 2), Psychological causes (n= 4), abdominal surgery (n= 1), severe tunnel infection (n =3), and unresolved peritonitis (n =3). The rate of peritonitis was as low as 0.106 per patient-year equivalent to 1 episode of peritonitis per 112 patient-months. At the end of the study, catheter survival was 91.3%. Conclusion:The low entry-site of our PD catheter seems to prevent catheter migration. The 3-cuffs probably act as an additional safeguard against peritonitis.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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