J Korean Radiol Soc.  2003 Jan;48(1):23-28. 10.3348/jkrs.2003.48.1.23.

Evaluation of Percutaneous Radiologic Placement of Peritoneal Dialysis Catheters: Technical Aspects, Results, and Complications

• Hong HP
• Oh JH
• Yoon Y
• Lee TW
• Ihm CG

• KMID: 2103698
• DOI: http://doi.org/10.3348/jkrs.2003.48.1.23

Abstract

PURPOSE: To evaluate the technical aspects, results and complications of the percutaneous radiologic placement of peritoneal dialysis catheters.
MATERIALS AND METHODS
Between December1999 and April 2001, 26 peritoneal dialysis catheters were placed percutaneously in 26 consecutive patients by interventional radiologists. The patient group consisted of 16 men and ten women with a mean age of 55 (range, 30-77) years. The results and complications arising were reviewed, and the expected patency of the catheters was determined by means of Kaplan-Meier survival analysis.
RESULTS
The technical success rate for catheter placement was 100% (26/26 patients). Severe local bleeding occurred in one patient due to by inferior epigastric artery puncture, and was treated by compression and electronic cautery. The duration of catheter implantation ranged from 1 to 510 days and the patency rate was 416+/-45 days. Catheter malfunction occurred in four patients. In two, this was restored by manipulation in the intervention room, and in one, through the use of urokinase. In three patients, peritonitis occurred. Catheters were removed from four patients due to malfunction (n=2), peritonitis (n=1), and death (n=1).
CONCLUSION
Percutaneous radiologic placement of a peritoneal dialysis catheter is a relatively simple procedure that reduces the complication rate and improves catheter patency.

Keyword

Dialysis; Interventional procedures; Peritoneum, catheterization

MeSH Terms

Catheters*
Cautery
Dialysis
Epigastric Arteries
Female
Hemorrhage
Humans
Male
Peritoneal Dialysis*
Peritonitis
Punctures
Urokinase-Type Plasminogen Activator
Urokinase-Type Plasminogen Activator