scholarly journals Accidental Insertion of a Peritoneal Dialysis Catheter in the Urinary Bladder

2018 ◽  
Vol 8 (1) ◽  
pp. 76-81 ◽  
Author(s):  
Shivraj Riar ◽  
Mohammed Abdulhadi ◽  
Christine Day ◽  
Bhanu Prasad
Keyword(s):  
Peritoneal Dialysis ◽  
Urinary Bladder ◽  
Ultrasound Guidance ◽  
Abdominal Cavity ◽  
Stable State ◽  
Clinic Visit ◽  
Peritoneal Dialysis Catheter ◽  
Distended Bladder ◽  
Percutaneous Insertion ◽  
Diagnostic Ct

Percutaneous insertion of a peritoneal dialysis (PD) catheter has inherent risks of complications, more so if done “blind” (without fluoroscopy and ultrasound guidance). Despite the perceived disadvantages, there are very few reported cases of mechanical complications after PD catheter insertion. We present an 81-year-old man who underwent percutaneous insertion of dual-cuffed coiled Tenckhoff PD catheter under local anesthesia by a trained nephrologist. The procedure was uneventful, and the patient was discharged 45 min later in a stable state. A day later, he noticed a decline in the urine output. A week later at a scheduled clinic visit, upon unclamping the PD catheter, there was a sudden gush of amber colored fluid. A diagnostic CT scan confirmed the presence of PD catheter entering the abdominal cavity inferior to the umbilicus and the distal end coiled in the urinary bladder. This case illustrates the need for prophylactic Foley catheterization in individuals at high risk for a distended bladder either as a consequence of a mechanical obstruction from an enlarged prostate or due to a neurogenic bladder while undergoing “blind” percutaneous placement.

Wang's Forceps-Assisted Percutaneous Insertion and Fixation of Peritoneal Dialysis Catheter

2018 ◽  
Vol 42 (7) ◽  
pp. 728-735 ◽  
Author(s):  
Huiming Wang ◽  
Yujuan Wang ◽  
Jili Zhu ◽  
Xinghua Chen ◽  
Cheng Chen ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Percutaneous Insertion

scholarly journals A disposable, ultra-fine endoscope for non-invasive, close examination of the intraluminal surface of the peritoneal dialysis catheter and peritoneal cavity

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Masaaki Nakayama ◽  
Chieko Hamada ◽  
Keitaro Yokoyama ◽  
Yudo Tanno ◽  
Nanae Matsuo ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Clinical Study ◽  
Peritoneal Cavity ◽  
Abdominal Cavity ◽  
Peritoneal Dialysis Catheter ◽  
Peritoneal Membrane ◽  
Non Invasive ◽  
Luminal Side ◽  
Stage Renal Disease ◽  
End Stage

Abstract The ability to visualize intraluminal surface of peritoneal dialysis (PD) catheter and peritoneal cavity could allow elucidation of the cases of outflow problems, and provide information on changes to the peritoneal membrane leading to encapsulating peritoneal sclerosis. A non-invasive examination that allows those monitoring in need is desirable. We have developed a disposable ultra-fine endoscope that can be inserted into the lumen of the existing PD catheter, allowing observation of the luminal side of the catheter and peritoneal cavity from the tip of the PD catheter, with minimum invasion in practice. In a pre-clinical study in pigs and a clinical study in 10 PD patients, the device provided detailed images, enabling safe, easy observation of the intraluminal side of the entire catheter, and of the morphology and status of the peritoneal surface in the abdominal cavity under dwelling PD solution. Since this device can be used repeatedly during PD therapy, clinical application of this device could contribute to improved management of clinical issues in current PD therapy, positioning PD as a safer, more reliable treatment modality for end-stage renal disease.

scholarly journals Technique of placement of peritoneal dialysis catheter using fluoroscopy and ultrasound guidance

2014 ◽  
Vol 25 (3) ◽  
pp. S148
Author(s):  
A.K. Abdel Aal ◽  
S. Saddekni ◽  
N. Ertel ◽  
E. Underwood ◽  
R. Oser ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Ultrasound Guidance ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter

scholarly journals Percutaneous insertion of peritoneal dialysis catheters by the nephrologist (modified Seldinger technique)

2021 ◽  
Vol 4 (4) ◽  
pp. 277-288
Author(s):  
Karlien Francois ◽  
Dieter De Clerck ◽  
Tom Robberechts ◽  
Freya Van Hulle ◽  
Stefan Van Cauwelaert ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Infectious Complications ◽  
Catheter Insertion ◽  
Seldinger Technique ◽  
Prior History ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Catheter Survival ◽  
Set Up ◽  
Percutaneous Insertion

A proper functioning access to the peritoneal cavity is the first and foremost requirement to start peritoneal dialysis. Most commonly, peritoneal dialysis catheters are inserted using a surgical approach. Laparoscopic peritoneal dialysis catheter insertion is the recommended surgical technique because it offers to employ advanced adjunctive procedures that minimize the risk of mechanical complications. In patients with low risk of mechanical catheter complications, such as patients without prior history of abdominal surgery or peritonitis, and in patients ineligible for general anesthesia, the percutaneous approach of peritoneal dialysis catheter insertion is an alternative to surgical catheter insertion. Percutaneous insertion of peritoneal dialysis catheters can be performed by a dedicated nephrologist, interventional radiologist, surgeon or nurse practitioner under local anesthesia, either with or without image guidance using ultrasound or fluoroscopy. Several reports show similar catheter function rates, mechanical and infectious complications and catheter survival for percutaneously inserted peritoneal dialysis catheters compared to surgically inserted peritoneal dialysis catheters. This article describes the percutaneous insertion of peritoneal dialysis catheters technique adopted at Universitair Ziekenhuis Brussel since 2015. Our technique is a simple low-tech modified Seldinger procedure performed by the nephrologist and not using fluoroscopy guidance. We describe the excellent outcomes of our percutaneously inserted peritoneal dialysis catheters and offer a practical guide to set up your own percutaneous catheter insertion program.

The Utility of Sonographic Assessment in Selecting Patients for Percutaneous Insertion of Peritoneal Dialysis Catheter

2017 ◽  
Vol 37 (4) ◽  
pp. 434-442 ◽  
Author(s):  
Renuka Shanmugalingam ◽  
Angela Makris ◽  
Hicham C. Hassan ◽  
Yan Li ◽  
Imelda DeGuzman ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Abdominal Surgery ◽  
Surgical Techniques ◽  
Abdominal Hernia ◽  
Exclusion Criterion ◽  
Peritoneal Dialysis Catheter ◽  
Catheter Survival ◽  
Tertiary Center ◽  
Ultrasound Findings ◽  
Percutaneous Insertion

BackgroundPercutaneous insertion of peritoneal dialysis (PD) catheters by nephrologists is a safe and effective alternative to open surgical techniques. These patients are usually carefully selected due to anatomical considerations and medical comorbidities, with the current literature suggesting exclusion of patients with prior abdominal surgery.MethodWe conducted a retrospective cohort study of pre-dialysis patients who attended a preprocedural clinic in a tertiary center over 6 years. Procedural complications and catheter survival were assessed. Chi-squared test and Kaplan-Meier survival analysis were undertaken. Inpatient assessments were excluded.ResultsA total of 217 patients were assessed, of whom 171 (78.8%) were accepted for percutaneous PD catheter insertion by a nephrologist. The key exclusion criteria were: ( 1 ) the clinical presence of abdominal hernia ( p < 0.001), ( 2 ) ultrasound findings of skin to peritoneum depth of > 5.5 cm ( p < 0.001) and ( 3 ) ultrasound findings of impaired visceral slide test ( p < 0.001). Prior abdominal surgery was not a default exclusion criterion ( p = 0.1), as 63 patients (37%) with prior abdominal surgery, average of 1.3 prior surgeries per patient, were assessed as appropriate for the percutaneous procedure. There was no difference in the procedural complication rate and catheter survival between patients with and without prior abdominal surgery.ConclusionA comprehensive preprocedural assessment utilizing ultrasound permits an objective selection of patients for percutaneous insertion of PD catheters by nephrologists. This allowed for successful and safe percutaneous insertion of PD catheters in patients who may have otherwise been excluded, e.g., prior abdominal surgery, patients with large bilateral poly-cystic kidneys, and central obesity.

scholarly journals Amputation of the peritoneal dialysis catheter in the abdominal cavity

2015 ◽  
Vol 87 (5) ◽  
pp. 1078
Author(s):  
Nakatsuka Mineo ◽  
Yoshida Ryochi ◽  
Tone Mari ◽  
Hakozaki Yuuji ◽  
Uchiyama Kiyotaka ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Abdominal Cavity ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter
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