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Published on: May 23, 2025
Salvage of accidentally sectioned peritoneal catheter: report of three cases
Casandra Puig Hooper1, Maite Rivera, Roberto Marcén
1Nephrology Service, Interventional Nephrology Unit, Hospital Ramon y Cajal, Alcala de Henares University, Madrid, Spain.
Insights
Peritoneal dialysis (PD) catheter damage can be repaired, allowing patients to continue PD treatment. Salvage procedures avoid catheter removal and switching to hemodialysis, preserving PD technique benefits.
Area of Science:
- Nephrology
- Urology
- Gastroenterology
Background:
- Peritoneal dialysis (PD) is used by only 6% of patients undergoing maintenance dialysis.
- Catheter-related issues often lead to premature transfer to hemodialysis.
- Routine catheter removal is common practice for PD technique problems.
Observation:
- Accidental cutting of a PD catheter occurred in three patients.
- The study focuses on salvaging the catheter without discontinuing PD.
- The goal was to avoid catheter withdrawal and hemodialysis transfer.
Findings:
- Successful salvage of three accidentally cut PD catheters was achieved.
- The presented steps allowed for catheter repair and continued PD.
- Patients avoided the need for catheter removal and hemodialysis.
Implications:
- Salvage procedures can effectively manage PD catheter damage.
- Preserving PD technique improves patient management and treatment continuity.
- This approach may help increase the prevalence of peritoneal dialysis.
Abstract:
Peritoneal dialysis (PD) accounts for 6% of patients on maintenance dialysis. There are several factors responsible for this low prevalence. Transfer of patients to hemodialysis when any problem in the technique is present is probably one of the most frequent reasons. Thus, when a problem in the PD catheter appears they are routinely removed instead of subjecting to salvage procedures. We report three cases of accidental cutting of the peritoneal catheter and present the steps taken to salvage the catheter without discontinuing the technique and avoiding withdrawal of the catheter.
