Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis
| Autor: | Conny Arnerlöv, Sven-Erik Persson, Wolfgang Sperker, Jan Stenbaek, Bernd Stegmayr, Christina Degerman, Christina Nilsson |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Tenckhoff catheter
amyotrophic lateral sclerosis medicine.medical_specialty business.industry medicine.medical_treatment neurodegeneration General Medicine transgenic mice protein aggregation Surgery law.invention Peritoneal dialysis Catheter Equipment failure strain Randomized controlled trial law Urologi och njurmedicin Urology and Nephrology Medicine business Dialysis |
| Zdroj: | Medicine. 94:e2083 |
| ISSN: | 0025-7974 |
| Popis: | We developed a technique for direct start of peritoneal dialysis. Using a coiled or straight Tenckhoff catheter often results in obstruction of flow. A self-locating Wolfram catheter is on the market. It is not clarified if this results in a benefit.The primary aim of this study was to perform a randomized investigation to clarify if the use of a self-locating peritoneal dialysis (PD) catheter would result in different flow problems than a straight Tenckhoff catheter.A total of 61 insertions were made who were randomized and received either a straight Tenckhoff (n = 32) or a self-locating Wolfram catheter (n = 29). A previously described operation technique allowed immediate postoperative start of dialysis. Seven straight Tenckhoff catheters had to be changed into self-locating catheters, and none vice versa, due to flow problems (P = 0.011). An early leakage resulted in temporarily postponed PD in 4 patients. This study showed that using the present operation technique the self-locating PD-catheter causes fewer obstruction episodes than a straight Tenckhoff catheter. This facilitates immediate postoperative start of PD. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|