A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study
医学
导管
腹膜透析
外科
肾病科
袖口
并发症
作者
Abdullah Al‐Hwiesh,Ibrahiem Saeed Abdul‐Rahman,J. C. Divino-Filho,Mohamed Ahmed Nasreldin,Amani Alhwiesh,Nadia Al‐Audah,Hatem H. Althubaini,Moaz Abdulgalil,Ghassan A. Salah,Mohammad Z. Al‐Baggal,Bassam A. Abu‐Oun,Nehad Al‐Audah,Habib S. Al‐Ramadan,Kaltham Alfalah,Zahra Almarri,Ayat A. Al‐Awal
Abstract Introduction PD catheter tip migration is a common complication and a significant cause of catheter malfunction. In this perspective, we present our experience with a new catheter and a new technique that involves the use of a new triple cuff PD catheter and a low entry site in an attempt to prevent PD catheter migration. Methods A total of 503 incident PD patients have been studied in more than one PD center over a period of 5 years. Results During the 5‐year follow up we recorded zero percent catheter migration. Other technical complications were poor drainage in 3.4%, omental wrap in 2.8%, early leakage in 3.4%, and catheter replacement in 2.4%. By the end of the study, the one‐year PD catheter survival was 97.6%. Conclusion Our new triple cuff PD catheter and our low‐entry approach seem to be effective in preventing PD catheter migration and minimizing other mechanical complications.