Ultrasonography of the catheter tunnel in peritoneal dialysis patients: What are the indications?

Vychytil, Andreas; Lilaj, Tatjana; Lorenz, Matthias; Hörl, Walter H.; Haag–Weber, Marianne

doi:10.1016/s0272-6386(99)70225-8

Cited by 34 publications

(25 citation statements)

References 9 publications

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“…Although most catheter TIs can be diagnosed by clinical exam alone, ultrasonographic examination of the catheter tunnel may be helpful in detecting a clinically occult TI, in delineating the extent of the infection, and in evaluating response to antibiotic therapy (142,(283)(284)(285).…”

Section: Guideline 183mentioning

confidence: 99%

Consensus Guidelines for the Prevention and Treatment of Catheter-Related Infections and Peritonitis in Pediatric Patients Receiving Peritoneal Dialysis: 2012 Update

et al. 2012

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Section: Guideline 183mentioning

confidence: 99%

Consensus Guidelines for the Prevention and Treatment of Catheter-Related Infections and Peritonitis in Pediatric Patients Receiving Peritoneal Dialysis: 2012 Update

et al. 2012

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“…Foremost among these is in hemodialysis vascular access, particularly arteriovenous fistulae, for both planning and evaluation of dysfunction. Others include insertion of peritoneal catheters (38), diagnosis of tunnel infections in peritoneal dialysis catheters (39), assessment of intravascular volume status through examination of the inferior vena cava (40), and detection of lung water (41).…”

Section: Other Applications Of Ultrasound In Nephrologymentioning

confidence: 99%

Renal Relevant Radiology

O’Neill

2014

Clinical Journal of the American Society of Nephrology

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Ultrasound is commonly used in nephrology for diagnostic studies of the kidneys and lower urinary tract and to guide percutaneous procedures, such as insertion of hemodialysis catheters and kidney biopsy. Nephrologists must, therefore, have a thorough understanding of renal anatomy and the sonographic appearance of normal kidneys and lower urinary tract, and they must be able to recognize common abnormalities. Proper interpretation requires correlation with the clinical scenario. With the advent of affordable, portable scanners, sonography has become a procedure that can be performed by nephrologists, and both training and certification in renal ultrasonography are available.

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“…Exit site inflammation may be present or it may look completely normal. Often, tunnel infections are occult and can be diagnosed only by ultrasonography (Holley et al 1989;Vychytil et al 1999b). …”

Section: Exit Site and Tunnel Infectionsmentioning

confidence: 99%