Safety and efficacy of percutaneous insertion of peritoneal dialysis catheters under sedation and local anaesthetic

Henderson, Scott; Brown, Edwina A.; Levy, Jeremy

doi:10.1093/ndt/gfp312

Cited by 69 publications

(95 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The majority of exit-site leaks occur early and settle conservatively by holding PD exchanges for a few days (6,10,12,13,15,22,40,43). The reported incidences of bowel or bladder perforation or hemorrhage necessitating operative intervention were typically 0-1.5% in total in any one study (6)(7)(8)(9)(10)(11)(12)(13)15,22,40,43).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

et al. 2015

View full text Add to dashboard Cite

♦ Background: The percutaneous Seldinger method of peritoneal dialysis catheter (PDC) insertion has gained favor over recent years whereas traditionally it was reserved for patients considered not fit for general anesthesia. This blind technique is believed to be less safe, and is hence avoided in patients with previous laparotomy incisions. Reports on the success of this method may therefore be criticized for selection bias. In those with no prior abdominal surgery the optimal method of insertion has not been established. ♦ Methods: We retrospectively reviewed the outcomes of first-time PDC placements comparing the percutaneous (group P) and surgical (group S) insertion techniques in patients without a history of previous abdominal surgery in a single center between January 2003 and June 2010. We assessed catheter survival at 3 and 12 months postinsertion and compared complication rates between the two groups. ♦ Results: A total of 63 percutaneous and 64 surgical catheter insertions were analyzed. No significant difference was noted in catheter survival rates between group P and group S (86.2% vs 80% at 3 months, p = 0.37; and 78.3% vs 71.2% at 12 months, p = 0.42 respectively). Early and overall peritonitis rates were similar (5% vs 5.3%; p = 1, and 3.5 vs 4.9 episodes per 100 patient-months; p = 0.13 for group P and group S respectively). There were also no significant differences between the two groups in exit site leaks (15.9% in group P vs 6.3% in group S; p = 0.15), poor initial drainage (9.5% in group P vs 10.9% in group S, p = 0.34) or secondary drainage failure (7.9% in group P vs 18.8% in group S, p = 0.09).

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

et al. 2015

View full text Add to dashboard Cite

show abstract

“…However, local practices vary with respect to patient preparation and post-insertion care, and these should take priority over the length of in-patient stay (29). We recommend that PD catheter insertion training should be available to all trainees with an interest.…”

Section: Guideline 54: Facilities For Pd Catheter Insertion (2c)mentioning

confidence: 99%

Clinical Practice Guidelines for Peritoneal Access

et al. 2010

View full text Add to dashboard Cite

“…Although some interventional nephrologists or radiologists have little experience with placing PD catheters, that skill is readily obtainable. Literature and courses can familiarize the operators with the appropriate techniques (13,14). Several studies suggest that catheters placed under radiologic guidance have technical outcomes comparable to those placed using an open or basic laparoscopic technique (15)(16)(17).…”

Section: Patient Selectionmentioning

confidence: 99%

Infrastructure Requirements for an Urgent-Start Peritoneal Dialysis Program

2013

View full text Add to dashboard Cite

Patients with advanced chronic kidney disease nearing dialysis but without pre-established access almost uniformly initiate dialysis with a temporary central venous catheter. These catheters are associated with high rates of infection and flow disturbances, requiring removal and subsequent replacement. Many of these patients might be candidates for peritoneal dialysis (PD), but because of the absence of prior catheter placement, the default initial modality is hemodialysis. Recent reports, however, have demonstrated the feasibility of initiating PD urgently despite the late referral for access placement. Urgent-start PD clinical pathways require a unique infrastructure and treatment approach. This article reviews the salient features required to establish an urgent-start PD program.Perit Dial Int 2013; 33(6):611-617 www.PDIConnect.com

show abstract

Safety and efficacy of percutaneous insertion of peritoneal dialysis catheters under sedation and local anaesthetic

Abstract: Percutaneous PD catheter insertion was associated with a very low complication rate and high primary success rate, and was highly efficient in use of resources and avoided the need for general anaesthesia.

Cited by 69 publications

References 6 publications

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

Clinical Practice Guidelines for Peritoneal Access

Infrastructure Requirements for an Urgent-Start Peritoneal Dialysis Program

Contact Info

Product

Resources

About