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Peritoneal dialysis access

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105 papers 1000+ followers PD catheters, insertions and complications | ISPD Vancouver 2018 http://ispdvancouver2018.org
By Daniel Schwartz Passionate about knowledge translation http://qxmd.com/read
https://www.readbyqxmd.com/read/27738088/modified-simple-peritoneal-wall-anchor-technique-pwat-in-peritoneal-dialysis
#1
Hideaki Oka, Shunsuke Yamada, Taro Kamimura, Masatoshi Hara, Yutaro Hirashima, Shumei Matsueda, Tomoya Shukuri, Seishi Aihara, Mai Koresawa, Masahiro Eriguchi, Atsumi Harada, Kazuhiko Tsuruya, Takanari Kitazono
♦ Background: Outflow obstruction, a common complication in patients with peritoneal dialysis (PD), usually results in unnecessary catheter removal or replacement. This study describes a modified simple method of anchoring a PD catheter on the anterior peritoneal wall without using a laparoscopic system (peritoneal wall anchor technique, PWAT). ♦ Methods: We performed a retrospective cohort study of consecutive PD catheter insertions, and compared the catheter survival rate between the traditional method and the modified simple PWAT...
October 13, 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/27598897/retroperitoneal-hematoma-causing-peritoneal-dialysis-catheter-malfunction
#2
Alison A Smith, Adam N Fonseca, Mihran V Naljayan, Anil S Paramesh
BACKGROUND: We present the unusual complication of peritoneal dialysis catheter dysfunction in a patient who developed a retroperitoneal hematoma following an endoscopic procedure and review the existing literature regarding this rare complication. CASE REPORT: A 60-year-old male with end stage renal disease presented with PD catheter dysfunction. A computerized tomography scan of his abdomen showed a large left retroperitoneal hematoma. He underwent a diagnostic laparoscopy and PD catheter revision...
July 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27160550/a-malfunctioning-peritoneal-dialysis-catheter-questions
#3
Anne M Kouri, Amy C Wilson, Corina Nailescu
No abstract text is available yet for this article.
May 9, 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/27160551/a-malfunctioning-peritoneal-dialysis-catheter-answers
#4
Anne M Kouri, Amy C Wilson, Corina Nailescu
No abstract text is available yet for this article.
May 9, 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/27260751/long-term-outcomes-of-single-port-laparoscopic-placement-of-peritoneal-dialysis-catheter
#5
Alan Pan, Mun J Poi, Jesus Matos, Jenny S Jiang, Elias Kfoury, Angela Echeverria, Carlos F Bechara, Peter H Lin
INTRODUCTION: Laparoscopic insertion of peritoneal dialysis (PD) catheter has become a preferred method compared to the traditional open technique for PD catheter insertion. We retrospectively report the outcome of 1-port laparoscopic placement PD catheters in our institution. METHODS: A total of 263 patients with end-stage renal disease who underwent single-trocar laparoscopic PD catheter insertion during a recent 6-year period were reviewed. Laparoscopic technique involves introducing a PD catheter over a stiff guidewire into the abdominal cavity through a 10-mm laparoscopic port...
July 2016: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27301500/a-novel-technique-for-correcting-peritoneal-dialysis-catheter-malposition-and-blockage
#6
Wen-Xian Zhang, Bo-Ying Liu, Yan-Mei Xiao, Xiao-Wei Dong, Fang Dai, Lan Wei
Methods To investigate the safety and clinical significance of the method described in this study, we focused on 16 peritoneal dialysis patients with peritoneal dialysis (PD) catheter malposition and blockage in whom nonsurgical reposition was ineffective, who received a local incision about 5 cm below hypogastrium PD catheter insertions under local anesthesia. Tissues were separated layer by layer, 1-cm incisions were performed on the peritoneum vertically and conventionally, and then the PD catheters were pulled...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27383854/retroperitoneal-hematoma-causing-peritoneal-dialysis-catheter-malfunction
#7
Alison A Smith, Adam N Fonseca, Mihran V Naljayan, Anil S Paramesh
BACKGROUND: We present the unusual complication of peritoneal dialysis (PD) catheter dysfunction in a patient who developed a retroperitoneal hematoma following an endoscopic procedure and review the existing literature regarding this rare complication. CASE REPORT: A 60-year-old man with end stage renal disease presented with PD catheter dysfunction. Computed tomography scan of his abdomen showed a large left retroperitoneal hematoma. He underwent a diagnostic laparoscopy and PD catheter revision...
March 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27397096/comparison-of-nephroscope-assisted-pulling-thread-technique-and-conventional-open-placement-of-peritoneal-dialysis-catheters-in-patients-with-end-stage-renal-disease
#8
Takashi Yoshida, Takahiro Nakamoto, Kenji Yoshida, Masaaki Yanishi, Takaaki Inoue, Takashi Murota, Hidefumi Kinoshita, Hiroyasu Tsukaguchi, Tadashi Matsuda
OBJECTIVE: To compare the clinical outcomes between nephroscope-assisted "pulling thread" technique (NPT) and conventional open placement (OP) of catheters in peritoneal dialysis patients. METHODS: We retrospectively reviewed 97 consecutive patients undergoing either NPT (n = 57) or OP (n = 40) for peritoneal dialysis catheter placement from March 2007 to May 2015. The operation-related data, early catheter-related complications, and long-term catheter survival were analyzed...
July 7, 2016: Urology
https://www.readbyqxmd.com/read/27385808/the-enigmatic-fallopian-tube-a-more-common-cause-of-catheter-malfunction-than-previously-recognized
#9
Prakash S Gudsoorkar, Todd Penner, S Vanita Jassal, Joanne M Bargman
Successful performance of peritoneal dialysis (PD) depends on a properly functioning PD catheter. Catheter malfunction remains a significant cause of technique failure, especially early in the course of therapy. Common causes of catheter malfunction include catheter displacement, omental or bowel wrapping, and fibrin clots. Less commonly, various intraperitoneal structures have been reported to lead to obstruction, including appendices epiploicae of sigmoid colon and the fallopian tube. Peritoneal dialysis catheter blockage due to fimbriae of the fallopian tube is being recognized as an important cause of catheter malfunction in females due to the increasing availability of diagnostic laparoscopy...
July 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/27044797/comparison-of-early-mechanical-and-infective-complications-in-first-time-blind-bedside-midline-percutaneous-tenckhoff-catheter-insertion-with-ultra-short-break-in-period-in-diabetics-and-non-diabetics-setting-new-standards
#10
Ninoo George, Suceena Alexander, Vinoi George David, Gopal Basu, Anjali Mohapatra, Anna T Valson, Shibu Jacob, Harish K Pathak, Antony Devasia, Veerasamy Tamilarasi, Santosh Varughese
♦ BACKGROUND: There are no large studies that have examined ultra-short break-in period with a blind, bedside, midline approach to Tenckhoff catheter insertion. ♦ METHODS: Observational cohort study of 245 consecutive adult patients who underwent percutaneous catheter insertion for chronic peritoneal dialysis (PD) at our center from January 2009 to December 2013. There were 132 (53.9%) diabetics and 113 (46.1%) non-diabetics in the cohort. ♦ RESULTS: The mean break-in period for the percutaneous group was 2...
November 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/27056580/comparing-long-term-outcomes-between-early-and-delayed-initiation-of-peritoneal-dialysis-following-catheter-implantation
#11
Mei-Fen Pai, Ju-Yeh Yang, Hung-Yuan Chen, Shih-Ping Hsu, Yen-Ling Chiu, Hon-Yen Wu, Wan-Chuan Tsai, Yu-Seng Peng
AIM: The aim of this study was to compare peritonitis rates, peritoneal dialysis technique survival and patient survival between patients who started peritoneal dialysis earlier than 14 days (early starters) and 14 days or more (delayed starters) after insertion of a Tenckhoff catheter. METHODS: Observational analysis was performed for all patients who underwent insertion of a Tenckhoff catheter at Far Eastern Memorial Hospital between 1 January 2006 and 31 December 2012...
July 2016: Renal Failure
https://www.readbyqxmd.com/read/27059968/introduction-of-a-new-laparoscopic-trocar-for-insertion-of-peritoneal-dialysis-catheters-and-making-a-proper-rectus-sheath-tunneling
#12
Amir Keshvari, Mohammad Reza Keramati, Mohammad Reza Nassajian, Mehrzad Mohsenipour, Mohammad Kazem Nouritaromlou
BACKGROUND: Using a proper laparoscopic trocar for making a downward rectus sheet tunneling (RSHT) during the implementation of peritoneal dialysis (PD) catheters leads to a longer survival of catheter and less catheter dysfunction. As no specific laparoscopic trocar has been invented for insertion of PD catheters, we designed a new trocar. In this article, we describe specifications of our new invented trocar for the first time. We will describe our experience with it in our patients as well...
December 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27138772/retroperitoneal-hematoma-causing-peritoneal-dialysis-catheter-malfunction
#13
Alison A Smith Md, Adam N Fonseca Md, Mihran V Naljayan Md, Anil S Paramesh Md
BACKGROUND: We present the unusual complication of peritoneal dialysis (PD) catheter dysfunction in a patient who developed a retroperitoneal hematoma following an endoscopic procedure and review the existing literature regarding this rare complication. CASE REPORT: A 60-year-old man with end stage renal disease presented with PD catheter dysfunction. Computed tomography scan of his abdomen showed a large left retroperitoneal hematoma. He underwent a diagnostic laparoscopy and PD catheter revision...
March 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27044796/alternating-mupirocin-gentamicin-is-associated-with-increased-risk-of-fungal-peritonitis-as-compared-with-gentamicin-alone-results-of-a-randomized-open-label-controlled-trial
#14
Ping-Nam Wong, Gensy M W Tong, Yuk-Yi Wong, Kin-Yee Lo, Shuk-Fan Chan, Man-Wai Lo, Kwok-Chi Lo, Lo-Yi Ho, Cindy W S Tse, Siu-Ka Mak, Andrew K M Wong
UNLABELLED:BACKGROUND AND OBJECTIVES: Catheter-related infection, namely exit-site infection (ESI) and peritonitis, is a major infectious complication and remains a main cause of technique failure for patients receiving peritoneal dialysis (PD). Topical application of antibiotic cream might reduce catheter-related infection but emergence of resistant or opportunistic organisms could be a concern. Optimal topical agents and regimens remain to be determined. We did a study to examine the effect of an alternating topical antibiotic regimen in preventing catheter-related infection...
May 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/26936290/outcomes-after-peritoneal-dialysis-catheter-placement
#15
Jennifer L Carpenter, Sara C Fallon, Sarah J Swartz, Paul K Minifee, Darrell L Cass, Jed G Nuchtern, Ashwin P Pimpalwar, Mary L Brandt
BACKGROUND: The purpose of this study was to review surgical outcomes after elective placement of peritoneal dialysis (PD) catheters in children with end-stage renal disease. METHODS: Children with PD catheters placed between February 2002 and July 2014 were retrospectively reviewed. Outcomes were catheter life, late (>30days post-op) complications (catheter malfunction, catheter malposition, infection), and re-operation rates. Comparison groups included laparoscopic versus open placement, age<2, and weight<10kg...
May 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26940545/laparoscopic-versus-traditional-peritoneal-dialysis-catheter-insertion-a-meta-analysis
#16
Qing Qiao, Leting Zhou, Kun Hu, Deyu Xu, Lin Li, Guoyuan Lu
OBJECTIVE: The objective of this study is to compare the catheter-related complications as well as catheter survival between laparoscopic and traditional surgery in peritoneal dialysis catheter insertion. RESULTS: Five randomized controlled trials and 11 cohort studies were identified. Meta-analysis showed laparoscopic catheter is superior to traditional surgery in terms of controlling catheter migration (OR 0.17, 95% CI 0.08-0.33; p < 0.00001) and catheter survival rate (1-year survival rate: OR 3...
June 2016: Renal Failure
https://www.readbyqxmd.com/read/26997381/a-modified-peritoneal-dialysis-catheter-with-a-new-technique-farewell-to-catheter-migration
#17
RANDOMIZED CONTROLLED TRIAL
Abdullah Khalaf Al-Hwiesh
To evaluate the efficacy our new, three-cuff peritoneal dialysis (PD) catheter, with the low-entry technique and to study its impact on catheter survival and mechanical and infectious complications, we prospectively used it in 36 incident PD patients and compared the results with those of conventional double-cuff PD Tenckhoff catheters with the classic approach used in 37 patients. The study was carried out at our university hospital over a period of 18 months. At the end of the study, significantly higher survival rate was observed with the use of new catheter compared with the conventional two-cuff Tenckhoff catheter, 91...
March 2016: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/26857647/bowel-perforation-during-peritoneal-dialysis-catheter-placement
#18
Kenneth Abreo, Adrian Sequeira
Interventional nephrologists and radiologists place peritoneal dialysis catheters using the percutaneous fluoroscopic technique in both the inpatient and outpatient setting. Nephrologists caring for such patients may have to diagnose and manage the complications resulting from these procedures. Abdominal pain can occur following peritoneal dialysis catheter placement when the local and systemic analgesia wears off. However, abdominal pain with hypotension is suggestive of a serious complication. Bleeding into the abdomen and perforation of the colon or bladder should be considered in the differential diagnosis...
August 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/26838995/laparoscopic-intraperitonealization-of-accidentally-misplaced-peritoneal-dialysis-catheter-a-salvage-procedure
#19
Santosh Kumar, Aditya Prakash Sharma, Gautam Rai Chaudhary, Manish Rathi
Tenckhoff catheter placement is a well-established procedure to facilitate continuous ambulatory peritoneal dialysis (CAPD) in end-stage renal disease (ESRD) management. Catheter malposition is a possible cause of catheter malfunction. Options to deal with early malfunction are re-exploration, omentectomy, repositioning, or new catheter placement. Technical malpositioning can be dealt with early, with minimal morbidity and cost. Here we report a case of a CAPD catheter accidentally placed preperitoneally which was salvaged using videolaparscopy...
January 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/26762798/extended-swan-neck-catheter-with-upper-abdominal-exit-site-reduces-peritoneal-dialysis-related-infections
#20
Masahiro Eriguchi, Kazuhiko Tsuruya, Hisako Yoshida, Naoki Haruyama, Shigeru Tanaka, Akihiro Tsuchimoto, Kiichiro Fujisaki, Kumiko Torisu, Kosuke Masutani, Takanari Kitazono
Extended catheters with an upper abdominal exit-site (UAE) are reportedly associated with a lower incidence of peritoneal dialysis (PD)-related infections. However, little information about the optimal peritoneal catheter configuration for UAE is available. In this nonrandomized multicenter trial, 147 consecutive cases of a UAE involving either a conventional straight (CS; 80 cases) or extended swan-neck catheter (SN; 67 cases) were analyzed to compare exit-site and tunnel infections (ESTI), peritonitis, and catheter survival...
April 2016: Therapeutic Apheresis and Dialysis
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