Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique
Objective To explore the efficacy and short-term complications of a modified technique to percutaneously insert a peritoneal dialysis catheter. Methods We reviewed the outcomes of 94 patients who underwent peritoneal dialysis catheterization between October 2017 and April 2020. Of these, 47 cases we...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | Renal Failure |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/0886022X.2021.1925296 |
| _version_ | 1818954118178275328 |
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| author | Yun Zou Yibo Ma Wenying Chao Hua Zhou Yin Zong Min Yang |
| author_facet | Yun Zou Yibo Ma Wenying Chao Hua Zhou Yin Zong Min Yang |
| author_sort | Yun Zou |
| collection | DOAJ |
| description | Objective To explore the efficacy and short-term complications of a modified technique to percutaneously insert a peritoneal dialysis catheter. Methods We reviewed the outcomes of 94 patients who underwent peritoneal dialysis catheterization between October 2017 and April 2020. Of these, 47 cases were placed by a conventional Seldinger technique, whereas 47 cases were placed by a modified technique based on the Seldinger method. The success rates of the catheter insertion and three-month postoperative complications were compared between these two groups. Results The catheter insertion success rates were comparable between the two groups: 93.6% in the conventional technique group and 97.9% in the modified technique group (p = 0.307). The incidence of postoperative catheter migration was lower using the modified technique (4.3%) than the conventional technique (18.3%) (p = 0.037). None of the patients in the modified technique group had postoperative dialysate leakage, whereas this occurred in 9.0% of patients in the conventional technique group (p = 0.036). There were no statistically significant differences in the incidence of postoperative bleeding, infection, or visceral damage between the two groups. Conclusions The modified Seldinger technique for percutaneous peritoneal dialysis catheter insertion reduced the short-term postoperative complications of catheter migration and dialysate leakage, with a comparable successful catheter insertion rate compared with the conventional Seldinger technique. |
| first_indexed | 2024-12-20T10:17:05Z |
| format | Article |
| id | doaj.art-b1fcee07f9a946b2bd64e7614a415414 |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2024-12-20T10:17:05Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-b1fcee07f9a946b2bd64e7614a4154142022-12-21T19:44:02ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492021-01-0143191992510.1080/0886022X.2021.19252961925296Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger techniqueYun Zou0Yibo Ma1Wenying Chao2Hua Zhou3Yin Zong4Min Yang5Department of Nephrology, The Third Affiliated Hospital of Soochow UniversityDepartment of Ultrasound, The Third Affiliated Hospital of Soochow UniversityDepartment of Nephrology, The Third Affiliated Hospital of Soochow UniversityDepartment of Nephrology, The Third Affiliated Hospital of Soochow UniversityDepartment of Nephrology, The Third Affiliated Hospital of Soochow UniversityDepartment of Nephrology, The Third Affiliated Hospital of Soochow UniversityObjective To explore the efficacy and short-term complications of a modified technique to percutaneously insert a peritoneal dialysis catheter. Methods We reviewed the outcomes of 94 patients who underwent peritoneal dialysis catheterization between October 2017 and April 2020. Of these, 47 cases were placed by a conventional Seldinger technique, whereas 47 cases were placed by a modified technique based on the Seldinger method. The success rates of the catheter insertion and three-month postoperative complications were compared between these two groups. Results The catheter insertion success rates were comparable between the two groups: 93.6% in the conventional technique group and 97.9% in the modified technique group (p = 0.307). The incidence of postoperative catheter migration was lower using the modified technique (4.3%) than the conventional technique (18.3%) (p = 0.037). None of the patients in the modified technique group had postoperative dialysate leakage, whereas this occurred in 9.0% of patients in the conventional technique group (p = 0.036). There were no statistically significant differences in the incidence of postoperative bleeding, infection, or visceral damage between the two groups. Conclusions The modified Seldinger technique for percutaneous peritoneal dialysis catheter insertion reduced the short-term postoperative complications of catheter migration and dialysate leakage, with a comparable successful catheter insertion rate compared with the conventional Seldinger technique.http://dx.doi.org/10.1080/0886022X.2021.1925296peritoneal dialysispercutaneous catheterizationseldinger techniqueultrasound guidance |
| spellingShingle | Yun Zou Yibo Ma Wenying Chao Hua Zhou Yin Zong Min Yang Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique Renal Failure peritoneal dialysis percutaneous catheterization seldinger technique ultrasound guidance |
| title | Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique |
| title_full | Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique |
| title_fullStr | Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique |
| title_full_unstemmed | Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique |
| title_short | Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique |
| title_sort | assessment of complications and short term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified seldinger technique |
| topic | peritoneal dialysis percutaneous catheterization seldinger technique ultrasound guidance |
| url | http://dx.doi.org/10.1080/0886022X.2021.1925296 |
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