title: A prospective randomized evaluation of chronic peritoneal catheters. Insertion site and intraperitoneal segment.
abstract: The insertion site (midline or through the lateral rectus muscle) and type of chronic dialysis catheter (straight or spiral intraperitoneal segment) were evaluated in a prospective randomized trial. Dialysis catheter complications and catheter survival were the endpoints of evaluation. Eighty-five first catheters were evaluated. Neither race, gender, renal diagnosis, type of catheter, nor insertion site was a determinant of dialysis catheter survival. Overall median catheter survival was 308 days. There were 40 catheter complications (70%, n = 28) that occurred during the first 61 days following insertion. Median time to the first complication occurring within the first 61 days was 3 days. Late catheter removals were due to peritonitis episodes that failed to resolve. Complications are frequent with peritoneal dialysis catheters, and care of the peritoneal dialysis catheters requires constant vigilance.
authors: University of Mississippi, Jackson.
authors: J
authors: J
authors: Rubin
authors: R
authors: R
authors: Didlake
authors: S
authors: S
authors: Raju
authors: H
authors: H
authors: Hsu
mesh_terms: D000328:Adult; D002408:Catheters, Indwelling; D004867:Equipment Design; D004868:Equipment Failure; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation*; D010538:Peritonitis / Q000209:etiology; D011446:Prospective Studies