Peritoneal Dialysis Catheter Position Evaluated by Ultrasound: Can it Replace Abdomen X-Ray in Patients Presenting Catheter Misplacement?

2017 ◽  
Vol 38 (05) ◽  
pp. 538-543
Author(s):  
Matthias Zeiler ◽  
Luca Zanoli ◽  
Rosalia Scarfia ◽  
Stefano Santarelli ◽  
Antonio Granata
Keyword(s):  
Peritoneal Dialysis ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Kappa Coefficient ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Peritoneal Catheter ◽  
Catheter Position ◽  
X Ray ◽  
Catheter Malfunction

Abstract Background Malfunction of the peritoneal dialysis catheter is frequently caused by dislocation. The diagnostic approach is classically based on abdomen X-ray together with detailed case history and physical examination. Despite being rarely applied in clinical practice to evaluate catheter misplacement, ultrasound is a noninvasive, radiation-free technique that is potentially useful also to explore reasons for catheter malfunction. Consequently, we aimed to evaluate the diagnostic accuracy of ultrasound to identify peritoneal catheter misplacement. Methods In a multicenter observational blinded study, we compared ultrasound to abdomen X-ray for catheter localization in 93 consecutive peritoneal dialysis patients with dialysate outflow problems enrolled in two nephrology and dialysis units. The position of the catheter was annotated on a standard scheme of nine abdominopelvic regions. The sensitivity, specificity, positive and negative predictive value and Kappa coefficient were calculated. Results Dislocation out of the inferior abdominopelvic regions was present in 19 patients (20 %) at X-ray and 23 patients (25 %) at ultrasound. Correct determination of the position of the catheter in the lower abdomen by ultrasound had a sensitivity of 93 % (95 % CI 84 – 97 %), specificity of 95 % (95 % CI 72 – 100 %), positive predictive value of 99 % (95 % CI 91 – 100 %), negative predictive value of 78 % (95 %CI 56 – 92 %) and Kappa coefficient of 0.82 (95 % CI 0.67 – 0.96). In 10 out of 93 patients (11 %), there was a position mismatch between X-ray and ultrasound in an adjacent abdominopelvic region. Conclusion Our results suggest that abdomen X-ray for the evaluation of peritoneal catheter position can be replaced by ultrasound in experienced hands. This bedside diagnostic procedure might reduce costs, the time necessary for diagnosis and lifetime radiation exposure.

scholarly journals A gripping case of peritoneal dialysis catheter malfunction

2015 ◽  
Vol 87 (2) ◽  
pp. 483 ◽  
Author(s):  
Peter A.G. Doubel ◽  
Franky P. Vansteenkiste ◽  
Olivier P. Schockaert
Keyword(s):  
Peritoneal Dialysis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Catheter Malfunction

scholarly journals A Technique to Address Peritoneal Dialysis Catheter Malfunction

2010 ◽  
Vol 14 (4) ◽  
pp. 608-610 ◽  
Author(s):  
Chee-Chee H. Stucky ◽  
Mark C. Mason ◽  
James A. Madura ◽  
Kristi L. Harold
Keyword(s):  
Peritoneal Dialysis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Catheter Malfunction

scholarly journals Percutaneous insertion of peritoneal dialysis catheter is a safe and effective technique irrespective of BMI

2020 ◽  
Author(s):  
Dayang Xie ◽  
Jianhui Zhou ◽  
Xueying Cao ◽  
Qingtao Zhang ◽  
Yanli Sun ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Catheter Insertion ◽  
Percutaneous Technique ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Peritoneal Catheter ◽  
Catheter Survival ◽  
The Difference ◽  
One Year ◽  
The One

Abstract Background. A large body mass index (BMI) has been considered as a relative contraindication for percutaneous catheter insertion , although this technique has many advantages. Up to now, there are few studies on peritoneal catheter placement and obesity. The aim of this study was to determine whether patients with large BMI can also choose the percutaneous technique for peritoneal dialysis catheter insertion. Methods. 187 consecutive patients underwent peritoneal catheter insertions in the Chinese PLA General Hospital between January 1, 2015 and December 31, 2016, with 178 eligible cases being included in the analysis. Two groups were created based on the catheter insertion techniques, the percutaneous group (group P) and the surgical group (group S). Subgroups were created according to BMI>28 or≤28. The outcomes included catheter related complications and catheter survival. Results. Total infectious complication rates were significantly lower in group P than in group S. The late peritonitis rates tended to be lower in group P than in group S, although the difference was not significant. There were no significant differences in all other measured complications between the two groups. Though the one-year infection-free catheter survival in group P was 7.5% higher than group S, the difference was not significant. The one-year dysfunction-free catheter survival, one-year dysfunction-and-infection-free catheter survival, and overall catheter survival were similar between the two groups. Subgroup analyses showed a superior one-year infection-free catheter survival of percutaneous technique in patients with BMI>28, which was confirmed by Kaplan-Meier analysis. Conclusions. Despite the challenges that may be encountered with patients who have a large BMI, the percutaneous technique is a safe and effective approach to placing a peritoneal dialysis catheter.

scholarly journals Cutaneous abscess related to peritoneal catheter tunnel infection

2021 ◽  
Author(s):  
Yoshihiro Nakamura ◽  
Tsuyoshi Watanabe ◽  
Naoho Takizawa ◽  
Yoshiro Fujita
Keyword(s):  
Peritoneal Dialysis ◽  
Physical Examination ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Peritoneal Catheter ◽  
Tunnel Infection ◽  
Catheter Infections

Some peritoneal dialysis catheter infections cannot be detected via a physical examination. Ultrasonography can aid in the diagnosis of such infections.

scholarly journals The importance of the peritoneal dialysis catheter material in orderto perform optimum dialysis in veterinary medicine

2020 ◽  
Vol 71 (06) ◽  
pp. 596-599
Author(s):  
BOGDAN ALEXANDRU VIŢĂLARU ◽  
RAZVAN SCARLAT
Keyword(s):  
Veterinary Medicine ◽  
Peritoneal Dialysis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Peritoneal Catheter ◽  
The Third ◽  
Dialysis Solution ◽  
Peritoneal Dialysis Solution

This study was conducted on 44 dogs, aged between 10 months and 15 years, weighing between 0.9 and 8.5 kilograms,during 72 months. We created four batches of 11 dogs each. First batch received silicone peritoneal catheters with twoDacron cuffs, second batch received silicone peritoneal catheters without Dacron cuffs, third batch receivedpolypropylene peritoneal catheters with two Dacron cuffs and fourth batch received polypropylene peritoneal catheterswithout Dacron cuffs. All the dogs were treated with the same peritoneal dialysis solution, at the same interval, in thesame doses and at the same temperature and all the peritoneal catheters were straight Blake. In dogs from the firstbatch, we experienced minimum subcutaneous leaks of peritoneal dialysis solution and the catheters were permeablefor at least 90 days. In the second batch, we experienced constant and reduced subcutaneous leaks of peritonealdialysis solution and the catheters were permeable for at least 90 days. In the third batch, we experienced mediumsubcutaneous leaks of peritoneal dialysis solution and the catheters were permeable for at least 45 days. In the fourthbatch, we experienced important subcutaneous leaks of peritoneal dialysis solution and the catheters were permeablefor at most 15 days. The study conclusion is that the best peritoneal catheter it is represented by the silicone peritonealcatheters with two Dacron cuffs.

scholarly journals The importance of the peritoneal dialysis catheter material in orderto perform optimum dialysis in veterinary medicine

2020 ◽  
Vol 71 (06) ◽  
pp. 596-599
Author(s):  
BOGDAN ALEXANDRU VIŢĂLARU ◽  
RAZVAN SCARLAT
Keyword(s):  
Veterinary Medicine ◽  
Peritoneal Dialysis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Peritoneal Catheter ◽  
The Third ◽  
Dialysis Solution ◽  
Peritoneal Dialysis Solution

This study was conducted on 44 dogs, aged between 10 months and 15 years, weighing between 0.9 and 8.5 kilograms,during 72 months. We created four batches of 11 dogs each. First batch received silicone peritoneal catheters with twoDacron cuffs, second batch received silicone peritoneal catheters without Dacron cuffs, third batch receivedpolypropylene peritoneal catheters with two Dacron cuffs and fourth batch received polypropylene peritoneal catheterswithout Dacron cuffs. All the dogs were treated with the same peritoneal dialysis solution, at the same interval, in thesame doses and at the same temperature and all the peritoneal catheters were straight Blake. In dogs from the firstbatch, we experienced minimum subcutaneous leaks of peritoneal dialysis solution and the catheters were permeablefor at least 90 days. In the second batch, we experienced constant and reduced subcutaneous leaks of peritonealdialysis solution and the catheters were permeable for at least 90 days. In the third batch, we experienced mediumsubcutaneous leaks of peritoneal dialysis solution and the catheters were permeable for at least 45 days. In the fourthbatch, we experienced important subcutaneous leaks of peritoneal dialysis solution and the catheters were permeablefor at most 15 days. The study conclusion is that the best peritoneal catheter it is represented by the silicone peritonealcatheters with two Dacron cuffs.

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