Swan-neck versus straight peritoneal dialysis catheter: Long-term effect on patient and method survival
| Autor: | A Dounavis, D Biblaki, Vassilis Filiopoulos, Dimitrios Hadjiyannakos, Dimosthenis Vlassopoulos, Lambrini Takouli |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Demographics medicine.medical_treatment 030232 urology & nephrology 030204 cardiovascular system & hematology outcomes lcsh:RC870-923 survival Peritoneal dialysis End stage renal disease End-stage renal disease 03 medical and health sciences 0302 clinical medicine medicine Peritoneal dialysis catheter Term effect business.industry lcsh:Diseases of the genitourinary system. Urology Surgery Catheter peritoneal dialysis peritoneal catheter Nephrology Ambulatory Original Article Hemodialysis business |
| Zdroj: | Indian Journal of Nephrology, Vol 26, Iss 5, Pp 343-346 (2016) Indian Journal of Nephrology |
| ISSN: | 0971-4065 |
| DOI: | 10.4103/0971-4065.167274 |
| Popis: | Peritoneal dialysis (PD) is limited mainly by a higher technique failure rate as compared to hemodialysis (HD), catheter malfunction being an important reason. Intra- and extra-peritoneal catheter configuration may be associated with mechanical and infectious complications affecting method survival. We report our experience with two extra-peritoneal catheter configurations: the straight and the swan-neck (SN) catheters. A total of 85 consecutive patients, 58 males and 27 females were included in the study. Among them, 26 were diabetics; 52 were treated with automated PD (APD) and 33 with continuous ambulatory PD (CAPD). Straight catheters were used in 38 patients (straight group) and SN catheters in 47 patients (SN group). Straight catheters were mostly used in the first 6-year period while SN catheters in the last 6-year period. The baseline demographics were similar between the two groups. A significantly higher frequency of APD use was observed in SN group. Technique survival was better with SN versus straight (log-rank test, P = 0.01) while patient and catheter survival were similar. A better technique survival is noted in our group of patients with SN catheters. An additional factor could be the significantly higher frequency of APD use in this group. Changes in PD solutions’ composition could also contribute to improvement in technique survival. The outcome for patients and catheter types used was similar. |
| Databáze: | OpenAIRE |
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