Best practices consensus protocol for peritoneal dialysis catheter placement by interventional radiologists

Area of Science:

• Nephrology
• Interventional Radiology
• Medical Procedures

Background:

• Peritoneal dialysis (PD) is becoming more prevalent due to cost-effectiveness and patient benefits like home dialysis and independence.
• Interventional radiology (IR) offers a minimally invasive approach for PD catheter placement, potentially improving scheduling and cost-efficiency.
• Existing reports on IR-led PD catheter placement are limited, necessitating a consensus on best practices.

Purpose of the Study:

• To establish consensus-based best demonstrated practices for PD catheter placement by interventional radiologists.
• To provide guidance for the increasing number of PD catheter placements performed by IR.
• To support the growing adoption of PD by nephrology practices.

Main Methods:

• Development of consensus-proposed best demonstrated practices for PD catheter placement.
• Utilizing ultrasonographic and fluoroscopic guidance for catheter insertion.
• Leveraging the combined experience of over 1000 PD catheter placements by the authors.

Main Results:

• The consensus document outlines best practices for IR-led PD catheter placement.
• Ultrasonographic and fluoroscopic guidance facilitate expeditious placement of permanent PD catheters.
• This technique can enable urgent-start PD and avoid temporary vascular access.

Conclusions:

• Interventional radiology offers an efficient and effective method for PD catheter placement.
• Standardized best practices are crucial for IRs performing PD catheter placements.
• IR-led PD catheter placement supports urgent-start PD and enhances patient care.