ABSTRACT
INTRODUCTION AND OBJECTIVES: Peritoneal catheter displacement is one of the most common complications of peritoneal dialysis. The alpha manoeuvre has been proposed as a repositioning technique, which involves returning the catheter to its correct position using rigid guidewires under fluoroscopic guidance. The aim of this study is to analyse the 107 procedures performed at our Centre to identify factors that may predict the success of the technique. MATERIAL AND METHODS: The alpha manoeuvre method was used in 86 patients, with a total of 107 procedures (70 patients underwent one manoeuvre only, 16 patients underwent two or more manoeuvres). RESULTS: The overall success rate of the technique was 60%. There were no differences in success rate in terms of gender (60% male vs. 40% female, p = 0.104), time of catheter failure (early 60% vs. late 62%, p = 0.849), type of catheter (75% self-locating vs. 58% spiral, p = 0.633) or the initial position of the catheter. There was only one case of peritonitis related to the procedure. CONCLUSIONS: The alpha manoeuvre is an effective and safe method for correcting peritoneal catheter displacement.
Subject(s)
Catheters, Indwelling/adverse effects , Peritoneal Dialysis/instrumentation , Peritoneal Dialysis/methods , Aged , Equipment Failure , Female , Humans , Longitudinal Studies , Male , Middle Aged , Retrospective StudiesSubject(s)
Aspergillosis/diagnosis , Aspergillus fumigatus/isolation & purification , Immunocompromised Host , Kidney Transplantation , Neosartorya/isolation & purification , Postoperative Complications/diagnosis , Aged, 80 and over , Aspergillosis/etiology , Aspergillosis/immunology , Cranial Sinuses/microbiology , Diagnosis, Differential , Humans , Male , Orbital Diseases/diagnosis , Orbital Diseases/etiology , Orbital Diseases/immunology , Paranasal Sinuses/microbiology , Postoperative Complications/immunologySubject(s)
Peritoneal Dialysis/adverse effects , Peritoneal Fibrosis/etiology , Adult , Bardet-Biedl Syndrome/therapy , Fatal Outcome , Female , Glomerulonephritis/therapy , Glomerulosclerosis, Focal Segmental/therapy , Humans , Kidney Transplantation , Male , Peritoneal Fibrosis/diagnostic imaging , Peritoneal Fibrosis/drug therapy , Peritonitis/etiology , Postoperative Complications/etiology , Recurrence , Retrospective Studies , Tamoxifen/therapeutic use , Tomography, X-Ray Computed , Young AdultABSTRACT
A case of Berardinelli-Seip syndrome, a congenital generalised lipodystrophy, is reported. Symptoms first appeared when the patient was 20 years old. She showed severe insulin resistance as well as micro- and macro-angiopathic complications, including chronic kidney disease, which required renal replacement therapy with peritoneal dialysis. The patient's clinical course was reviewed since paediatric age (when initial signs of the disease being already evident) to present time. Berardinelli-Seip syndrome is very uncommon, and the present case is particularly rare because it is the only case (at least as reported in the literature) in a patient receiving dialysis.
