scholarly journals Minimally invasive fluoroscopic percutaneous peritoneal dialysis catheter salvage

2014 ◽  
Vol 7 (3) ◽  
pp. 264-268
Author(s):  
R. Narayan ◽  
T. Fried ◽  
G. Chica ◽  
M. Schaefer ◽  
D. Mullins
Author(s):  
Aydin Dalgic ◽  
Emin Ersoy ◽  
Michael E. Anderson ◽  
Jonathan Lewis ◽  
Atilla Engin ◽  
...  

2007 ◽  
Vol 27 (6) ◽  
pp. 707-709 ◽  
Author(s):  
Amir Kazory ◽  
Juan C. Cendan ◽  
Tracy L. Hollen ◽  
Edward A. Ross

Obstruction of the catheter is one of the potentially serious complications of peritoneal dialysis. Dislocation of the tip of the catheter, intraluminal fibrin formation, and omental wrapping are among the most common etiologies of peritoneal dialysis catheter malfunction that necessitate correction. Here we present a rare case of primary malfunction of a newly placed catheter in which multiple attempts to restore the patency by minimally invasive procedures were unsuccessful. Laparoscopy revealed a thick encapsulating sheath around the entire length of the catheter as the etiology of complete obstruction, without involvement of other intra-abdominal structures. The sheath was opened and the catheter was pulled out in its entirety. There was no intraluminal or orifice obstruction and it subsequently functioned perfectly.


2020 ◽  
pp. 089686082091502 ◽  
Author(s):  
Jian Wang ◽  
Xiao-Sheng Li ◽  
Feng-Xia Zhang ◽  
Run-Xiu Wang ◽  
Feng Cao ◽  
...  

A simple, noninvasive method for removing peritoneal dialysis (PD) catheters, called the “pull technique,” has become popular in recent years. Physicians still worry, however, about the range of its application and possible complications such as infection of the retained cuff and breakage. We, therefore, applied this technique in patients and enriched its administration for removing PD catheters. Altogether, 24 PD catheter removals in 24 patients were reviewed during the period from July 2018 to October 2019 in our hospital. Using the pull technique, the PD catheter’s superficial cuff was dissected using an electronic knife, and the deep cuff was retained. All patients’ catheters were successfully removed with no breakage. No incision or retained cuff was infected during the follow-up period (1.1–15.6 months). The appropriate peak force of pull traction was approximately 12–13 pounds, not very different from the mean maximum tensile force of 21.48 pounds for silicone tube breakage. The use of intermittent (rather than sustained) traction may reduce the breakage risk of the silicone tube. This method is a safe, practical, minimally invasive method for removing PD catheters, and it is suitable for application on special patients with peritonitis or who are on an immunosuppressant.


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