BACKGROUND: A significant number of complications and catheter failures in CAPD are due to mechanical problems. METHODS: We reviewed 105 consecutive peritoneal dialysis catheters, generally implanted by blind insertion technique, in 80 patients over an 11-year period. 137 mechanical problems were collected and classified according to their etiologies into the following: those related to the insertion procedure (n = 21; 15.3%), those related to the presence of dialysate in peritoneum (n = 33; 24%), catheter-related malfunction (n = 28; 20.4%), secondaries to abdominal events (n = 3; 0.2%), catheter accidents (n = 37; 26.2%) and others (n = 15; 11%). RESULTS: Removal of the catheter was performed in 86 of 105 catheters: mechanical complications accounted for 19 of them (21.8%) and 9 patients were definitively transferred to hemodialysis due to this problem. The most frequent complications were catheter accidents, although only a few of them required catheter removal. CONCLUSION: The majority of the catheter removals were due to catheter displacement (31.5%), this problem being more frequent in straight than in Swan Neck catheters.
BACKGROUND: A significant number of complications and catheter failures in CAPD are due to mechanical problems. METHODS: We reviewed 105 consecutive peritoneal dialysis catheters, generally implanted by blind insertion technique, in 80 patients over an 11-year period. 137 mechanical problems were collected and classified according to their etiologies into the following: those related to the insertion procedure (n = 21; 15.3%), those related to the presence of dialysate in peritoneum (n = 33; 24%), catheter-related malfunction (n = 28; 20.4%), secondaries to abdominal events (n = 3; 0.2%), catheter accidents (n = 37; 26.2%) and others (n = 15; 11%). RESULTS: Removal of the catheter was performed in 86 of 105 catheters: mechanical complications accounted for 19 of them (21.8%) and 9 patients were definitively transferred to hemodialysis due to this problem. The most frequent complications were catheter accidents, although only a few of them required catheter removal. CONCLUSION: The majority of the catheter removals were due to catheter displacement (31.5%), this problem being more frequent in straight than in Swan Neck catheters.
Authors: Dagmara Borzych-Duzalka; T Fazil Aki; Marta Azocar; Colin White; Elizabeth Harvey; Sevgi Mir; Marta Adragna; Erkin Serdaroglu; Rajiv Sinha; Charlotte Samaille; Juan Jose Vanegas; Jameela Kari; Lorena Barbosa; Arvind Bagga; Monica Galanti; Onder Yavascan; Giovanna Leozappa; Maria Szczepanska; Karel Vondrak; Kei-Chiu Tse; Franz Schaefer; Bradley A Warady Journal: Clin J Am Soc Nephrol Date: 2016-11-29 Impact factor: 8.237
Authors: Stepan Michran Esagian; Dimitrios Spinos; Anastasia Vasilopoulou; Nikolaos Syrigos; Muath Bishawi; Ruediger Wilhelm Lehrich; John Paul Middleton; Paul Vincent Suhocki; Theodore Nick Pappas; Konstantinos P Economopoulos Journal: J Nephrol Date: 2021-03-22 Impact factor: 3.902