Correction of CAPD catheter displacement using alpha-replacement method

Kawamoto, Shinya; Yamamoto, Hiroyasu; Nakayama, Masaaki; Kawaguchi, Yoshindo; Hosoya, Tatsuo

doi:10.1007/s10157-004-0333-8

Cited by 7 publications

(6 citation statements)

References 4 publications

(2 reference statements)

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“…On the other hand, the benefit of fluoroscopic manipulation is that it is minimally invasive. In this study as well, the success rate of alpha-replacement treatment was similar to the rate in previous reports [9,10], which was lower than that of surgical procedures. In contrast, we were able to perform alpha-replacement treatment without complications such as abdominal organ injury or hernia that accompany surgical procedures.…”

Section: Discussionsupporting

confidence: 67%

“…This wire is unique in being flexible if straightened, becoming harder when coiled [10]. We used the alpha-replacer in the same manner as previously described [9]. After checking the position of the tip of the PD catheter using a radio-contrast agent, an alpha-replacer is inserted aseptically (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…However, surgical procedures are associated with the risk of several complications, such as abdominal peritonitis, hernia and dialysate leakage. Therefore, fluoroscopic manipulation is a useful non-surgical alternative, due to the lower risk of complications as compared to surgical procedures [6][7][8][9][10][11]. Various devices and techniques have previously been used for this, including fluoroscopic manipulation for peritoneal catheter malposition.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and safety of fluoroscopic manipulation using the alpha-replacer for peritoneal catheter malposition

et al. 2014

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Section: Discussionsupporting

confidence: 67%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy and safety of fluoroscopic manipulation using the alpha-replacer for peritoneal catheter malposition

et al. 2014

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“…The first limitation is the high rate of recurrence, which was 22% (2 of 9 cases) in functional terms and 33% (3 of 9 cases) in radiological terms in the present series. High recurrence rates for TRC were also reported by Kawamoto et al , reaching 43% (6 of 14 cases) (3). Conversely, Santarelli et al reported a 1-year survival rate lower than 30% for video laparoscopically rescued catheters (4).…”

Section: Discussionmentioning

confidence: 53%

Transluminal Replacement of Displaced Peritoneal Catheter Using a Special “Alpha-Replacer” Guidewire: Effectiveness and Limitations

Terawaki

Nakayama

Nakano³

et al. 2007

Perit Dial Int

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Background Transluminal replacement of a displaced peritoneal catheter (TRC) using a metal guidewire is a noninvasive treatment of catheter displacement with acute malfunction. The “alpha-replacer” is a special guidewire developed specifically for TRC. This wire is usually flexible but becomes harder if coiled in the hand. Application of this unique guidewire might improve the effectiveness of TRC. Methods TRC using an alpha-replacer was performed in 10 cases for urgent correction of peritoneal catheter displacement. All patients had received a double cuffed, straight-end swan-neck catheter. Results The primary success rate of TRC using the alpha-replacer was 90% (9 of 10 cases). No patients developed complications such as injury of the peritoneum or abdominal organs. Relapse of catheter displacement was observed in 2 cases (20%) within 1 week, requiring surgical intervention to prevent relapse. Conclusion TRC using the alpha-replacer as described herein offers effective and safe treatment of peritoneal catheter displacement.

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“…Our medical center frequently admits patients with these complications from community medical units. Application of motion, enemas, massage, guide wire and other traditional methods is effective for some of the patients [20][21][22][23][24][25] . However, in the vast majority of patients, especially those with omental wrap, surgical repositioning 3.…”

Section: Discussionmentioning

confidence: 99%

Wang's Forceps-Assisted Catheter Reposition and Fixation: An Easy and Reliable Rescue Method

Wang

Wang²,

Chen³

et al. 2016

Blood Purif

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Catheter migration and omental wrap are the most common causes of catheter malfunction, which usually result in catheter removal or replacement. The conventional open surgery for catheter reposition has many disadvantages. A new tunnel is needed throughout the procedure of catheter replacement causing more pain and frustration to the patients. Another drawback is that the incidence of catheter migration after conventional catheter reposition surgery is still as high as it was before the procedure. Wang's forceps, an instrument commonly used in our peritoneal dialysis center, is easy and effective in catheter insertion and fixation. Recently, we have successfully used the Wang's forceps to resolve the catheter displacement for 10 patients, including 1 patient who suffered from catheter tip migration 3 times and had undergone conventional catheter rescue by both open surgery and laparoscopy. This new technique was easy and reliable, and the original tunnel was maintained, which reduced pain and risk of infection in the patients. These advantages may grant the Wang's forceps technique favorable over the conventional surgical approach.

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Correction of CAPD catheter displacement using alpha-replacement method

Abstract: The alpha-replacement method for a displaced CAPD catheter proved to be effective and safe.

Cited by 7 publications

References 4 publications

Efficacy and safety of fluoroscopic manipulation using the alpha-replacer for peritoneal catheter malposition

Efficacy and safety of fluoroscopic manipulation using the alpha-replacer for peritoneal catheter malposition

Transluminal Replacement of Displaced Peritoneal Catheter Using a Special “Alpha-Replacer” Guidewire: Effectiveness and Limitations

Wang's Forceps-Assisted Catheter Reposition and Fixation: An Easy and Reliable Rescue Method

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