A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study

Author:

Al‐Hwiesh Abdullah K.1ORCID,Abdul‐Rahman Ibrahiem Saeed1,Divino‐Filho Jose Carolino2,Nasreldin Mohamed A.1,Al‐Hwiesh Amani A.1,Al‐Audah Nadia3,Althubaini Hatem H.1,Abdulgalil Moaz1,Salah Ghassan A.4,Al‐Baggal Mohammad Z.3,Abu‐Oun Bassam A.4,Al‐Audah Nehad1,Al‐Ramadan Habib S.2,Alfalah Kaltham1,Almarri Zahra1,Al‐Awal Ayat A.1

Affiliation:

1. Deparment of Nephrolgy Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University Al‐Khobar Saudi Arabia

2. Karolinska Institute Division of Renal Medicine Stockholm Sweden

3. Ministry of Health Dammam Central Hospital Dammam Saudi Arabia

4. Ministry of Health King Fahd Hospital Al‐Hassa Saudi Arabia

Abstract

AbstractIntroductionPD catheter tip migration is a common complication and a significant cause of catheter malfunction. In this perspective, we present our experience with a new catheter and a new technique that involves the use of a new triple cuff PD catheter and a low entry site in an attempt to prevent PD catheter migration.MethodsA total of 503 incident PD patients have been studied in more than one PD center over a period of 5 years.ResultsDuring the 5‐year follow up we recorded zero percent catheter migration. Other technical complications were poor drainage in 3.4%, omental wrap in 2.8%, early leakage in 3.4%, and catheter replacement in 2.4%. By the end of the study, the one‐year PD catheter survival was 97.6%.ConclusionOur new triple cuff PD catheter and our low‐entry approach seem to be effective in preventing PD catheter migration and minimizing other mechanical complications.

Publisher

Wiley

Subject

Nephrology,Hematology

Reference39 articles.

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2. Working Group on Revision of Peritoneal Dialysis Guidelines J.; Therapy S. for D. Part 2. In 2019 JSDT Giudelines for Peritoneal Dialysis; Japanese Society for Dialysis Therapy Ed.; Igakutosho Syuppann: Tokyo Japan 2019; 115–128.

3. Type of Peritoneal Dialysis Catheter and Outcomes

4. Coiled Versus Straight Peritoneal Dialysis Catheters: A Randomized Controlled Trial and Meta-analysis

5. Correction of migrated peritoneal dialysis catheter using processed gastroscopic brush: report of six cases and method description;Cui W;Int J Clin Exp Med,2016

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