Peritoneal dialysis in patients with abdominal vascular prostheses.
Patients with intra-abdominal vascular catastrophes may develop acute and/or chronic renal failure requiring dialysis. To patients with in-situ vascular prostheses the use of peritoneal dialysis (PD) may offer considerable advantages including better hemodynamic control and avoidance of anti-coagulation in a critically ill patient. Institution of PD in such patients, however, often gives rise to concerns relating to peritonitis and subsequent infection of the prosthesis, fluid leaks, and abdominal wound dehiscence. A review of available literature suggests that PD has been utilized in both acute and chronic renal failure following intra-abdominal vascular procedures. PD appears to be an efficient mode of dialysis with a surprisingly small number of complications in these patients.
Misra
M
M
School of Medicine, University of Missouri-Columbia, USA.
Goel
S
S
Khanna
R
R
D000005:Abdomen / Q000098:blood supply*; D001012:Aorta, Abdominal / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D010530:Peritoneal Dialysis / Q000009:adverse effects; D016459:Prosthesis-Related Infections / Q000209:etiology; D051437:Renal Insufficiency / Q000209:etiology / Q000628:therapy