title: A new connecting technique in partial replantation of a ruptured peritoneal dialysis catheter.
abstract: Peritoneal dialysis catheter ruptures have been managed by immediate removal and subsequent reinsertion of the catheter which inevitably entails interruption in peritoneal dialysis and a need for vascular access. A 36-year-old man on continuous ambulatory peritoneal dialysis complaining of dialysate leakage was found to have a small rupture near the outer cuff of the peritoneal dialysis catheter. Rather than employing the traditional method of exchanging the whole catheter, a partial replantation procedure to salvage the still-functioning conduit was performed. Two peritoneal dialysis adaptors were used to connect the end of the remaining old catheter to a new extraperitoneal segment of a new catheter and a piece of a transfer set to connect the adaptors. A novel, yet simple and safe, means of partial peritoneal dialysis catheter replantation when managing catheter injuries is suggested.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea, Seoul St. Mary׳s Hospital, Seoul, Korea.
authors.forename: Yaeni
authors.initials: Y
authors.lastname: Kim
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Narayana Hrudayalaya Hospital, Bangalore, India.
authors.forename: Prashant C
authors.initials: PC
authors.lastname: Dheerendra
authors.affiliation: Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea, Seoul St. Mary׳s Hospital, Seoul, Korea; Section of Interventional Nephrology, Department of Internal Medicine, The Catholic University of Korea, Seoul St. Mary׳s Hospital, Seoul, Korea.
authors.forename: Yong-Soo
authors.initials: YS
authors.lastname: Kim
keywords: Catheter; End-stage renal disease; Peritoneal dialysis; Replantation