Continuous ambulatory peritoneal dialysis in patients after intra-abdominal prosthetic vascular graft surgery.
The purpose of this study was to assess the feasibility of continuous ambulatory peritoneal dialysis (CAPD) after intra-abdominal prosthetic vascular graft surgery. We report 8 consecutive patients with end-stage renal disease, who previously underwent intra-abdominal prosthetic aortic graft replacement, treated by CAPD between November 1983 and November 1994. All patients received a peritoneal dialysis catheter without technical problems and were dialyzed for a total of 208 months. Six episodes of peritonitis occurred in 4 patients without clinical evidence of any abdominal aortic graft infection. Three patients developed intermittent claudication and 2 died of myocardial infarct. A similar peritonitis and cardiovascular complication rate was observed in a control group of age- and sex-matched CAPD patients with no aortic prosthesis. We conclude that CAPD is feasible in patients with abdominal aortic prosthesis.
Maccario
M
M
Division of Nephrology and Dialysis, IRCCS Ospedale Maggiore, Milano, Italy. pont004@pn.itnet.it
De Vecchi
A
A
Scalamogna
A
A
Castelnovo
C
C
Ponticelli
C
C
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D006801:Humans; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010538:Peritonitis / Q000150:complications; D013530:Surgical Wound Infection / Q000503:physiopathology; D016896:Treatment Outcome; D014511:Uremia / Q000628:therapy