[Peritoneal Dialysis Catheter Design: Variants and Clinical Implications].

Q4 Medicine
Luca Nardelli, Antonio Scalamogna, Giuseppe Castellano
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引用次数: 0

Abstract

The success of peritoneal dialysis (PD) relies imperatively on the presence of a safe and well-functioning peritoneal access. The ideal catheter should be easy to position and durable, comfortable and practical to use, have minimal aesthetic impact and present low infectious and mechanical complications. Originally, the catheter that came closest to these characteristics was designed by Tenckhoff at the end of the 1960s. Over the next fifty years, different types of devices were developed with the aim of improving their efficiency and at the same time reducing the associated complications. Overall, none of these catheters has demonstrated a clear superiority over the Tenckhoff catheter and yet up to 30% of PD discontinuations are due to access-related complications. However, nowadays the wide range of existing models bestow the possibility of a personalized choice. This approach, together with the placement technique and the experience of the centre, would allow maximizing the benefits deriving from specific features of the PD catheter in relation to peculiar conditions of the recipient. Therefore, for clinicians involved in the positioning and care of peritoneal access, understanding the principles underlying the different configurations of the PD catheter is necessary to establish a "case by case" approach.

[腹膜透析导管设计:变异和临床意义]。
腹膜透析(PD)的成功依赖于一个安全和功能良好的腹膜通道的存在。理想的导管应易于定位,耐用,使用舒适实用,美观影响最小,感染和机械并发症低。最初,最接近这些特征的导管是由Tenckhoff在20世纪60年代末设计的。在接下来的五十年里,不同类型的设备被开发出来,目的是提高效率,同时减少相关的并发症。总的来说,这些导管都没有表现出明显优于Tenckhoff导管,但高达30%的PD中断是由于与通路相关的并发症。然而,如今广泛的现有模式赋予了个性化选择的可能性。这种方法,加上放置技术和中心的经验,将允许PD导管的特定特征在接受者的特殊情况下获得最大的好处。因此,对于参与腹膜通路定位和护理的临床医生来说,了解PD导管不同配置的原理对于建立“具体情况具体分析”的方法是必要的。
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
CiteScore
0.70
自引率
0.00%
发文量
62
期刊介绍: Il Giornale Italiano di Nefrologia (GIN) è la rivista di educazione continua della Società Italiana di Nefrologia SIN ed è pubblicato bimestralmente. E" il più autorevole organo di informazione nefrologia disponibile a livello nazionale. Il giornale Italiano di Nefrologia offre la più aggiornata informazione medico-scientifica rivolta al nefrologo sotto forma di rassegne, casi clinici e articoli finalizzati all’Educazione Continua in Medicina, oltre ai notiziari ed agli atti dei congressi di questa prestigiosa Società Scientifica
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