Success rates and safety of a modified percutaneous PD catheter placement technique: Ultrasound-guided percutaneous placement of peritoneal dialysis catheters using a multifunctional bladder paracentesis trocar

作者全名："Li, Zhen; Fang, Zheng; Ding, HongYun; Sun, JiYe; Li, Yi; Liu, Jie; Yu, YunLu; Zhang, JianBin"

作者地址："[Li, Zhen; Sun, JiYe; Li, Yi; Liu, Jie; Yu, YunLu; Zhang, JianBin] Peoples Hosp Banan Dist, Dept Nephrol, 659 YuNan Rd, Chongqing 401320, Peoples R China; [Fang, Zheng] Peoples Hosp Banan Dist, Dept Radiol, Chongqing, Peoples R China; [Ding, HongYun] ChongQing Med Univ, Dept Nephrol, YongChuan Hosp, Chongqing, Peoples R China"

通信作者："Zhang, JB (通讯作者)，Peoples Hosp Banan Dist, Dept Nephrol, 659 YuNan Rd, Chongqing 401320, Peoples R China."

来源：MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000837777500025

JCR分区：Q2

影响因子：1.6

年份：2022

卷号：101

期号：31

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结束页：　

文献类型：Article

关键词：multifunctional bladder paracentesis trocar; peritoneal dialysis catheters; percutaneous; safety; success rates; ultrasound-guided

摘要："Background: We modified the blind Seldinger technique by incorporating ultrasound guidance and the use of a multifunctional bladder paracentesis trocar for PD catheter (PDC) placement, which can be easily performed by a nephrologist and is a feasible technique. To compare success rates and safety of our modified percutaneous PD catheter placement technique to open surgery. Methods: Two hundred and twelve stage-5 chronic kidney disease(CKD) patients receiving PD therapy from June 2016 to June 2019 were included, 105 patients treated by ultrasound-guided percutaneous placement of peritoneal dialysis catheters using a multifunctional bladder paracentesis trocar (Group A) and 107 patients receiving open surgical placement (Group B). Outcomes of patients via either catheter placement technique were retrospectively compared. The clinical success rate as defined by proper catheter drainage within 4 weeks after placement, complication rates (both technical complications and infections), and 1-year catheter survival were compared. Results: There was no significant difference in sex ratio, age, or previous abdominal surgery history between groups (P > .05). Both surgical time and incision length were significantly shorter in Group A than in Group B (P < .05). Clinical success rate was also higher inGroup A (P < .05). Moreover, Group A demonstrated lower overall complication rates (P < .05) and lower incidence rates of early peritonitis, initial drainage disorder, and peritubular leakage (all P < .05). One-year catheter survival was also higher in Group A (P < .05). Conclusion: Percutaneous placement of PD catheters using our modified technique demonstrates superior success rates and safety compared to open surgery. In addition, our modified technique can be a better alternative to traditional Seldinger percutaneous catheterization for its higher success rate and safety, more accurate positioning."

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