Related Experiment Video
Updated: Aug 8, 2025
06:09
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
286
Image-guided tunneled peritoneal dialysis catheter placement
Gregory Johnston1, Gina Jin1, Christopher S Morris1
1Department of Radiology, University of Vermont Medical Center, Burlington, VT, USA.
Cardiovascular Diagnosis and Therapy
|March 3, 2023
Summary
Image-guided peritoneal dialysis (PD) catheter placement via interventional radiology offers a minimally invasive option for end-stage renal disease (ESRD) patients. This technique provides real-time imaging and comparable outcomes to surgical methods, with potential for increased use due to COVID-19 impacts.
Area of Science:
- Nephrology
- Interventional Radiology
- Surgical Procedures
Background:
- End-stage renal disease (ESRD) necessitates dialysis for survival, with peritoneal dialysis (PD) utilizing the peritoneum for blood filtration.
- PD requires a tunneled catheter placed in the peritoneal space, ideally in the rectouterine/rectovesical space.
- Catheter insertion methods include open surgical, laparoscopic, blind percutaneous, and image-guided techniques.
Purpose of the Study:
- To review the history and techniques of PD catheter insertion.
- To discuss patient selection criteria for PD.
- To explore the impact of COVID-19 on PD catheter placement strategies.
Main Methods:
- Literature review of PD catheter insertion techniques.
- Comparison of surgical versus image-guided percutaneous approaches.
- Analysis of PD utilization trends and influencing factors.
Main Results:
- Interventional radiology offers image-guided percutaneous PD catheter placement with real-time imaging confirmation.
- Outcomes of image-guided PD catheter placement are similar to more invasive surgical approaches.
- The COVID-19 pandemic may increase demand for PD and image-guided placement.
Conclusions:
- Image-guided PD catheter placement is a viable, minimally invasive alternative to surgical methods.
- Increased utilization of PD, particularly image-guided placement, is anticipated.
- This approach may become more prevalent, especially in light of healthcare system shifts due to COVID-19.
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