Acute peritoneal dialysis following ruptured abdominal aortic aneurysms

Creating and Maintaining Optimal Peritoneal Dialysis Access in the Adult Patient: 2019 Update

“…Published reports describe placement of PD catheters and initiation of dialysis simultaneous with repair of ruptured abdominal aortic aneurysms (97) or at intervals between vascular graft placement and start of PD as early as 1 month (98), 3 months (99), and 4 months (100) without infection of the prosthesis. It would seem prudent to allow, at minimum, a 2-week period of retroperitoneal epithelialization following an intraabdominal graft placement before starting PD (100).…”

The Management of Abdominal Aortic Aneurysms in Patients with Concurrent Renal Impairment

“…Some groups have reported placing peritoneal dialysis catheters at the time of ruptured AAA repair to be used in the event of post-operative renal failure. 64 In 69 patients with catheters placed they were used as the sole method for post-operative renal support in eight patients and in combination with haemodialysis in nine. Whilst there was an increased incidence of wound infections in these patients only one graft infection occurred, after a period of 4 years and this was attributed to complicated diverticular disease.…”

The Influence of Preexistent Renal Failure on the Prognosis Following Ruptured Abdominal Aortic Aneurysms.

“…15 Early dialysis has been advocated in order to reduce mortality associated with multiorgan failure.15 However, HD is sometimes not welltolerated during the first several days after an RAAA repair because of the hemodynamic instability and risk of bleeding from anticoagulation therapy.15 Because of these consideration, peritoneal dialysis15 or CHDF6 may substitute for HD. In our series, CHDF was utilized while converting to HD in recent three cases, case 4, 5 and 9 ( …”