Peritoneal dialysis catheters: repositioning with new fluoroscopic technique.
From April 1990 to December 1992, the authors evaluated a new technique for radiologic manipulation of malfunctioning peritoneal dialysis catheters (PDCs). In 25 patients (16 male and nine female patients, aged 15-81 years), 25 PDCs were fluoroscopically manipulated 38 times for failure to drain (n = 22) or painful dialysis (n = 3). The PDC was backed out of its initial position with use of a wire and stiffener. Immediate success was obtained in 34 of 38 manipulations (89%), 21 manipulations (55%) were successful at 1 week, and durable success (function for more than 1 month or until the catheter was no longer needed) was achieved in 16 manipulations (42%). This is an effective alternative procedure to surgical catheter replacement or hemodialysis.
Siegel
R L
RL
Department of Radiology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson University Hospital, New Brunswick, NJ 08903.
Nosher
J L
JL
Gesner
L R
LR
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000379:methods*; D002408:Catheters, Indwelling; D004868:Equipment Failure; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation*; D015642:Radiology, Interventional / Q000379:methods