Catheter configuration and outcome in patients on continuous ambulatory peritoneal dialysis: a prospective comparison of two catheters.
| Autor: | Eklund BH; Fourth Department of Surgery, Helsinki University Central Hospital, Finland., Honkanen EO, Kala AR, Kyllönen LE |
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| Jazyk: | angličtina |
| Zdroj: | Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis [Perit Dial Int] 1994; Vol. 14 (1), pp. 70-4. |
| Abstrakt: | Objective: To examine the impact of peritoneal catheter configuration on mechanical complications, catheter survival, probability of episodes of peritonitis, and probability of exit-site infections associated with the use of catheters for continuous ambulatory peritoneal dialysis (CAPD). Design: Prospective randomized trial. Setting: CAPD unit in one university hospital. Patients: Forty consecutive patients requiring a dialysis catheter for future CAPD were randomized to receive either a single-cuff straight Tenckhoff catheter or a permanently bent single-cuff Swan neck catheter. The skin exit was upward-directed in the Tenckhoff group and downward-directed in the Swan neck group. Results: Dialysate leak occurred in one patient and symptomatic catheter tip migration in 3 patients with the Tenckhoff catheter but in none with the single-cuff Swan neck catheter (p = 0.5, p = 0.12). No significant differences in catheter survival at 2 years, probability of episodes of peritonitis, or probability of exit-site infections could be demonstrated. Conclusion: Catheter configuration did not influence the catheter-related mechanical or infectious complications. We were unable to demonstrate any advantage of the newer, permanently bent single-cuff Swan neck catheter over the conventional straight type. |
| Databáze: | MEDLINE |
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