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Updated: Sep 13, 2025
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
492
Peritoneal Dialysis Catheter Breaks-Do Not Let It Break Your Heart!
Veenaa Manjari S1, Rajeevalochana Parthasarathy1, Sanjeev Nair2
1Department of Nephrology, Medway Hospitals, Chennai, Tamil Nadu, India.
Seminars in Dialysis
|August 1, 2025
Summary
Peritoneal dialysis (PD) catheter breaks are rare but manageable. Innovative repair techniques can salvage PD catheters, avoiding treatment interruption and extending device lifespan.
Area of Science:
- Nephrology
- Medical Device Engineering
Background:
- Peritoneal dialysis (PD) is a vital treatment for kidney failure.
- PD catheter breaks, though infrequent, can lead to serious complications like peritonitis.
- Current management often involves catheter removal, disrupting therapy.
Observation:
- This study details three unique cases of PD catheter breaks.
- Breaks occurred spontaneously or traumatically, with potential for wet contamination.
- Management focused on preserving the catheter and continuity of PD therapy.
Findings:
- Two PD catheters with breaks proximal to the exit site were successfully salvaged using minimally invasive procedures.
- One patient required catheter removal, but immediate exchange over a guidewire allowed uninterrupted PD therapy.
- All patients continued PD treatment without complications post-intervention.
Implications:
- Creative approaches to PD catheter break management can prevent removal.
- Minimally invasive repair and immediate exchange strategies extend the functional life of PD catheters.
- Preserving PD catheter integrity ensures uninterrupted treatment for patients with kidney failure.
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