Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial.

Medicine (Baltimore)

From the Departments of Public Health and Clinical Medicine and Surgical and Perioperative Science, Urology and Andrology, Umea University, Umea, Sweden.

Published: December 2015

We developed a technique for direct start of peritoneal dialysis. Using a coiled or straight Tenckhoff catheter often results in obstruction of flow. A self-locating Wolfram catheter is on the market. It is not clarified if this results in a benefit.The primary aim of this study was to perform a randomized investigation to clarify if the use of a self-locating peritoneal dialysis (PD) catheter would result in different flow problems than a straight Tenckhoff catheter.A total of 61 insertions were made who were randomized and received either a straight Tenckhoff (n = 32) or a self-locating Wolfram catheter (n = 29). A previously described operation technique allowed immediate postoperative start of dialysis. Seven straight Tenckhoff catheters had to be changed into self-locating catheters, and none vice versa, due to flow problems (P = 0.011). An early leakage resulted in temporarily postponed PD in 4 patients. This study showed that using the present operation technique the self-locating PD-catheter causes fewer obstruction episodes than a straight Tenckhoff catheter. This facilitates immediate postoperative start of PD.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674194PMC
http://dx.doi.org/10.1097/MD.0000000000002083DOI Listing

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