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

IF 1.5 4区医学 Q3 HEMATOLOGY

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-08-16 DOI:10.1111/1744-9987.14045

Abdullah K Al-Hwiesh, Ibrahiem Saeed Abdul-Rahman, Jose Carolino Divino-Filho, Mohamed A Nasreldin, Amani A Al-Hwiesh, Nadia Al-Audah, Hatem H Althubaini, Moaz Abdulgalil, Ghassan A Salah, Mohammad Z Al-Baggal, Bassam A Abu-Oun, Nehad Al-Audah, Habib S Al-Ramadan, Kaltham Alfalah, Zahra Almarri, Ayat A Al-Awal

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引用次数: 0

Abstract

Introduction: PD 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.

Methods: A total of 503 incident PD patients have been studied in more than one PD center over a period of 5 years.

Results: During 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%.

Conclusion: Our new triple cuff PD catheter and our low-entry approach seem to be effective in preventing PD catheter migration and minimizing other mechanical complications.

查看原文本刊更多论文

肾脏病学家梦寐以求的零移位腹膜透析导管：一项多中心前瞻性研究。

导言：PD导管尖端移位是一种常见的并发症，也是导管故障的一个重要原因。在这篇论文中，我们介绍了使用新型导管和新技术的经验，其中包括使用新型三层袖带 PD 导管和低入口部位，试图防止 PD 导管移位：方法：我们在一个以上的PD中心对503名PD患者进行了为期5年的研究：结果：在5年的随访中，导管移位率为零。其他技术并发症包括引流不畅（3.4%）、网膜包裹（2.8%）、早期渗漏（3.4%）和导管更换（2.4%）。研究结束时，PD 导管的一年存活率为 97.6%：结论：我们的新型三层袖带腹腔穿刺导管和低入口方法似乎能有效防止腹腔穿刺导管移位，并将其他机械并发症降至最低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Therapeutic Apheresis and Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

10.50%

发文量

166

审稿时长

6-12 weeks

期刊介绍： Therapeutic Apheresis and Dialysis is the official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis and the Japanese Society for Dialysis Therapy. The Journal publishes original articles, editorial comments, review articles, case reports, meeting abstracts and Communications information on apheresis and dialysis technologies and treatments.