An original non-traumatic maneuver for repositioning migrated peritoneal dialysis catheters.
OBJECTIVE
To describe an original non-traumatic maneuver for repositioning a migrated peritoneal dialysis (PD) catheter.


METHODS
First, tissues wrapping the PD catheter are dissociated, then a correct route is selected according to the position of the catheter, and finally the catheter is repositioned manually in 8 steps: pressing, palpating, vibrating, wave vibrating, rotating, back-pushing and vibrating, swaying, and compressing.


RESULTS
Of 30 cases of PD catheter migration, repositioning was successful on the first attempt in 9 cases, on the third attempt in 10 cases, on the seventh attempt in 7 cases, and failed in 4 cases. The overall success rate was 86.7%.


CONCLUSIONS
Manual repositioning of a migrated PD catheter is safe, painless, economical, and feasible. Repositioning of the migrated dialysis catheter may be attempted before referral for more invasive interventions.
Tu
Wen-Ting
WT
Division of Nephrology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, P.R. China.
Su
Zhen
Z
Shan
Yi-Sheng
YS
D002408:Catheters, Indwelling / Q000009:adverse effects*; D015331:Cohort Studies; D020878:Device Removal; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D026201:Musculoskeletal Manipulations / Q000379:methods*; D010173:Palpation / Q000379:methods*; D010530:Peritoneal Dialysis / Q000009:adverse effects* / Q000295:instrumentation*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014732:Vibration