Patients undergoing peritoneal dialysis catheter placement experience fewer complications

Patients undergoing peritoneal dialysis catheter placement via fluoroscopy and ultrasound-guidance experienced significantly fewer complications at 1 year post-insertion than did patients whose catheters were placed laparoscopically.

The first of two study groups received catheters using fluoroscopy and ultrasound guidance under conscious sedation by interventional radiologists. In the second group, the catheters were inserted using laparoscopy under general anesthesia by surgeons.

"Our results showed that the overall complications at 1 year were significantly higher for the laparoscopic group and that the laparoscopic approach is more likely to be complicated by catheter malfunction and peritonitis," said Ahmed Kamel Abdel Aal, chief of the division of Interventional Radiology at the University of Alabama at Birmingham.

The image-guided insertion technique may allow for expeditious catheter placement in late-referred patients with end-stage renal disease, thus facilitating urgent-start peritoneal dialysis and avoiding the need for temporary vascular-access catheters.

Source: American Roentgen Ray Society

Comments

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Researchers discover advances in predicting kidney failure in type 1 diabetes patients