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Correction of Malfunctioning peritoneal Dialysis Catheter with Guidewire and Stiffener Under fluoroscopic Guidance
Journal of the Korean Radiological Society ; : 905-909, 1997.
Article in Korean | WPRIM | ID: wpr-48346
ABSTRACT

PURPOSE:

To determine the efficacy of correction of a malfunctioning peritoneal dialysis catheter with guidewire and stiffener under fluoroscopic guidance. MATERIALS AND

METHODS:

Between November 1994 and March 1997, we performed 15 manipulations in 12 patients in whom a dual-cuff, straight Tenckhoff peritoneal dialysis catheter had been implanted due to chronic renal failure. The causes of catheter malfunctioning were inadequate drainage of the dialysate (n=14) and painful dialysis (n=1). Under fluoroscopic guidance, adhesiolysis and repositioning of the malfunctioning catheter were performed with an Amplatz Super Stiff guidewire and the stiffener from a biliary drainage catheter. The results of procedures were categorized as either immediate or durable success, this latter being defined as adequate catheter function for at least one month after the procedure.

RESULTS:

Immediate success was achieved in 14 of 15 procedures (93%), and durable success in 7 of 15 (47%). The mean duration of catheter function was 157 (range, 30 to 578) days. After manipulation, abdominal pain developed in eight patients and peritonitis in two, but with conservative treatment, these symptoms improved.

CONCLUSION:

The correction of a malfunctioning peritoneal dialysis catheter with guidewire and stiffener under fluoroscopic guidance is an effective means of restoring catheter function and may be an effective alternative to surgical reimplantation of the catheter, or hemodialysis.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Peritonitis / Replantation / Abdominal Pain / Drainage / Renal Dialysis / Peritoneal Dialysis / Dialysis / Catheters / Kidney Failure, Chronic Type of study: Practice guideline Limits: Humans Language: Korean Journal: Journal of the Korean Radiological Society Year: 1997 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Peritonitis / Replantation / Abdominal Pain / Drainage / Renal Dialysis / Peritoneal Dialysis / Dialysis / Catheters / Kidney Failure, Chronic Type of study: Practice guideline Limits: Humans Language: Korean Journal: Journal of the Korean Radiological Society Year: 1997 Type: Article