title: Comparison of two catheters for peritoneal access in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).
abstract: The results obtained by means of the Tenckhoff and the Toronto Western Hospital-type (TWH) indwelling catheters for peritoneal access in patients undergoing Continuous Ambulatory Peritoneal Dialysis are reported. Fifty-nine Tenckhoff catheters were used for 592 months and 24 TWH-type for 220 months. One-year catheter survival was 71% in the Tenckhoff group and 77% in the TWH group. The difference does not reach statistical significance. Moreover no statistically significant differences as regards complications could be found between the two catheter types. A major disadvantage was noted with the TWH catheter: on two occasions TWH catheters could not be removed without a laparotomy, being firmly adherent to the intestine or omentum. It is concluded that the TWH catheter is not a superior alternative to the Tenckhoff catheter for peritoneal access in patients undergoing Continuous Ambulatory Peritoneal Dialysis.
mesh_terms: D000328:Adult; D000368:Aged; D002404:Catheterization / Q000009:adverse effects; D002408:Catheters, Indwelling / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000295:instrumentation*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation*; D012189:Retrospective Studies