Comparison between straight single-cuff and curled double-cuff catheters in patients on continuous ambulatory peritoneal dialysis

Ateş, Kenan; Karatan, Oktay; Ertürk, Şehsuvar; Erbay, Bülent; Duman, Neval; Nergisoglu, G.; Ertug, A. E.

doi:10.1093/oxfordjournals.ndt.a027443

Cited by 2 publications

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“…19 Despite many innovative designs, nothing has been demonstrated to outperform the standard 2-cuff, coiled tip Tenckhoff catheter. [49][50][51][52][53][54] Concerns regarding common catheter complications are more reliably addressed by proper catheter implantation technique than by complicated and expensive catheter designs. A catheter design can never compensate for a poorly performed implantation procedure.…”

Section: Catheter Type and Exit Site Selectionmentioning

confidence: 99%

Selected best demonstrated practices in peritoneal dialysis access

Crabtree

2006

Kidney International

120

122

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Many burdensome interventions that adversely affect the utilization of peritoneal dialysis as renal replacement therapy and patient satisfaction with this treatment modality can be avoided by early peritoneal access placement with embedded catheters, implantation techniques that preempt common catheter complications, and the use of access devices that provide flexibility in exit site location. Catheter embedding consists of subcutaneously burying the external limb of the catheter tubing at the time of the insertion procedure. Interval exteriorization of the catheter is performed when dialysis is needed. Earlier commitment by patients to peritoneal dialysis can be achieved by elimination of catheter maintenance until dialysis is necessary. Catheter embedding is a practical strategy to avoid temporary hemodialysis with vascular catheters and reduces stress on operating room access by allowing more efficient scheduling as non-urgent procedures. Laparoscopic catheter placement enables proactive techniques not available to other conventional insertion methods. These techniques include rectus sheath tunneling to prevent catheter tip migration, selective prophylactic omentopexy to prevent omental entrapment, selective resection of epiploic appendages to prevent catheter obstruction, adhesiolysis to eliminate compartmentalization, and diagnosis and simultaneous repair of previously undiagnosed abdominal wall hernias. Both standard and extended 2-piece catheter systems are necessary to customize the peritoneal access to a variety of body configurations. Catheters should be able to produce lower abdominal, mid-abdominal, upper abdominal, and upper chest exit site locations that facilitate management by the patient without sacrificing deep pelvic position of the catheter tip or resulting in excessive tubing stress during passage through the abdominal wall.

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Section: Catheter Type and Exit Site Selectionmentioning

confidence: 99%

Selected best demonstrated practices in peritoneal dialysis access

Crabtree

2006

Kidney International

120

122

View full text Add to dashboard Cite

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Peritoneal Dialysis Catheter Placement Techniques

Buffington¹,

Sequeira²,

Sachdeva³

et al. 2012

TOUNJ

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The success of catheter placement is critically important for the ability to stay on peritoneal dialysis over the long-term. Nephrologists have used percutaneous placement with or without fluoroscopic guidance and placement using peritoneoscopic guidance to place these catheters. Complications can be divided into early, within 14 days, and late complications, those arising more that 14 days after the procedure. The main post-procedure complications are infection, leakage, and obstruction. Results of non-invasive placement have been comparable to surgical placements. The noninvasive technique is simple with minimal intra-operative morbidity, and a post-placement complication rate better than surgical placements. Comparing percutaneously placed catheters to laparoscopically and peritoneoscopically placed catheters shows that the laparoscopic technique has a better one year survival rate. In deciding which technique is best for the patient, it is important to identify advantages of percutaneous placement, such as use of local anesthesia, lower rates of complications, the fact that it is a bedside or office procedure, versus the limitations in that the percutaneous method is not suited for obese patients or those patients likely to have peritoneal adhesions. Peritoneal catheters can be placed in a timely manner without delays associated with surgical scheduling. This offers an added option, both to the neprhologist and the patient and may avoid starting dialysis using a central venous catheter. The placement of peritoneal dialysis catheters by nephrologists has been shown to increase utilization of peritoneal dialysis as a dialysis modality, and this is an important advantage of the procedure.

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Comparison between straight single-cuff and curled double-cuff catheters in patients on continuous ambulatory peritoneal dialysis

Cited by 2 publications

References 0 publications

Selected best demonstrated practices in peritoneal dialysis access

Selected best demonstrated practices in peritoneal dialysis access

Peritoneal Dialysis Catheter Placement Techniques

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