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Peritoneal dialysis catheters: repositioning with new fluoroscopic technique
R L Siegel1, J L Nosher, L R Gesner
1Department of Radiology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson University Hospital, New Brunswick, NJ 08903.
Radiology
|March 1, 1994
Summary
This study shows radiologic manipulation is an effective treatment for malfunctioning peritoneal dialysis catheters (PDCs). This minimally invasive technique offers a successful alternative to surgery or hemodialysis for many patients.
Area of Science:
- Nephrology
- Interventional Radiology
Background:
- Peritoneal dialysis catheters (PDCs) can malfunction, leading to treatment failure.
- Catheter dysfunction often necessitates surgical revision or switching to hemodialysis.
Purpose of the Study:
- To evaluate the efficacy of a novel radiologic manipulation technique for malfunctioning PDCs.
- To assess the success rates of this minimally invasive approach.
Main Methods:
- Fluoroscopically guided manipulation of 25 PDCs in 25 patients over 38 procedures.
- Catheters were repositioned using a wire and stiffener for drainage or pain issues.
Main Results:
- Immediate success was achieved in 89% of manipulations.
- One-week success rate was 55%.
- Durable success (over 1 month) was observed in 42% of cases.
Conclusions:
- Radiologic manipulation is a viable, effective alternative to surgical replacement of PDCs.
- This technique can restore function and improve patient outcomes, avoiding hemodialysis.