Abstract
Catheter malfunction, defined as mechanical failure in dialysate inflow or outflow, is not uncommon in peritoneal dialysis(PD) patient, occuring in 4–34.5% of PD patients. Common causes of catheter malfunction are omental wrapping, catheter tip migration, catheter obstruction due to fibrin or blood clots within the catheter lumen, kinking of the catheter, small bowel wrapping, occlusion by fimbriae and intraperitoneal adhesions. This chapter will discuss the diagnosis and managment of each of these problems.
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References
Yamada A, Hiraiva T, Tsuji Y, Ueda N. Single-port laparoscopy for salvaging outflow failure from omental wrapping. Perit Dial Int. 2012;32(6):669–71.
Zhu W, Jiang J, Zheng X, Zhang M, Guo H, et al. The placement of peritoneal dialysis catheters: a prospective randomized comparison of open surgery versus ‘Mini-Perc’ technique. Int Urol Nephrol. 2015;47:377–82.
Kang SH, Jy D, Cho KH, Park JW, Yoon KW. Blind peritoneal catheter placement with a tenckhoff trocar by nephrologists: a singlcenter experience. Nephrology. 2012;17:141–7.
Paolo ND, Capotondo L, Sansoni E, Romolini V, Simola M, et al. The self-locating catheter: Clinical experience and follow-up. Perit Dial Int. 2004;24:359–64.
Ash SR, Wolf R. Placement of the Tenckhoff peritoneal dialysis catheter under peritoneoscopic visualization. Dial Transplant. 1981;10:383–6.
Li JR, Chen CH, Cheng CL, Yang CK, Ou YC, et al. Five-year experience of peritoneal dialysis catheter placement. J Chin Med Assoc. 2012;75:309–13.
Lee CM, Ko SF, Chen HC, Leung TK. Double-guidewire method: a novel technique for correction of migrated Tenckhoff peritoneal dialysis catheter. Perit Dial Int. 2003;23:587–90.
Numanoglu A, McCulloch MI, Van der Pool A, Millar AJW, Rode H. Laparoscopic salvage of malfunctioning Tenckhoff Catheters. J Laparoendosc Adv Surg Tech. 2007;17:128–30.
Liu WJ, Hooi LS. Complications after Tenckhoff catheter insertion: a single-centre experience using multiple operators over four years. Perit Dial Int. 2010;30:509–12.
Ogunc G. Minilaparoscopic extraperitoneal tunelling with omentopexy: a new technique for CAPD catheter placement. Perit Dial Int. 2005;25:551–5.
Ogunc G. Malfunctioning peritoneal dialysis catheter and accompanying surgical pathology repaired by laparoscopic surgery. Perit Dial Int. 2002;22:454–62.
Kimmelstiel FM, Miller RE, Malinelli BM. Laparoscopic management of peritoneal dialysis catheters. Surg Gynecol Obstet. 1993;176:565–70.
Amerling R, Macic DV, Spivak H, Lo AY, White P, et al. Laparoscopic salvage of malfunctioning peritoneal catheters. Surg Endosc. 1997;11:249–52.
Ovnat A, Dukhno O, Pinsk I, Peiser J, Levy I. The laparoscopic option in the management of peritoneal dialysis catheter revision. Surg Endosc Other Interv Tech. 2002;16(4):698–9.
Crabtree JH. Development of surgical guidelines for laparoscopic peritoneal dialysis access: down a long and winding road. Perit Dial Int. 2015;35:241–4.
Hughes CR, Agnotti DM, Jubelirer RA. Laparoscopic repositioning of a continuous ambulatory peritoneal dialysis (CAPD) catheter. Surg Endosc. 1994;8:1108–9.
Li J, Cheng C, Chiu K, Cheng C, Yang C, et al. Minilaparotomy salvage of malfunctioning catheters in peritoneal dialysis. Perit Dial Int. 2011;33:46–50.
Goh YH. Omental folding: a novel laparoscopic technique for salvaging peritoneal dialysis catheters. Perit Dial Int. 2008;28:626–31.
Zadrozny D, Niemierko ML, Draczkowski T, Renke M, Liberek T. Laparoscopic approach for dysfunctional Tenckhoff catheters. Perit Dial Int. 1999;19:170–1.
Fukui M, Maeda K, Sakamoto K, Hamada C, Tomino Y. Laparoscopic manipulation for outflow failure of peritoneal dialysis catheter. Nephron. 1999;83:369.
Chao S, Tsai T. Laparoscopic rescue of dysfunctional Tenckhoff catheters in continuous ambulatory peritoneal dialysis patients. Nephron. 1993;65:157–8.
Crabtree JH, Fishman A. Laparoscopic epiplopexy of the greater omentum and epiploic appendices in the salvaging of dysfunctional peritoneal dialysis catheters. Surg Laparosc Endosc. 1996;6:176–80.
Crabtree JH, Fishman A. Laparoscopic omentectomy for peritoneal dialysis catheter flow obstruction: a case report and review of the literature. Surg Laparosc Endosc Percutan Tech. 1999;9:228–33.
Campisi S, Cavatorta F, Ramo E, Varano P. Videolaparoscopy with partial omentectomy in patients on peritoneal dialysis. Perit Dial Int. 1997;17:211–2.
Alagumuthu M, Das BB, Pattanayak SP, Rasananda M. The omentum: a unique organ of exceptional versatility. Indian J Surg. 2006;68(83):136–41.
Ouyang CJ, Huang FX, Yang QQ, Jiang ZP, Chen V, et al. Comparing the incidence ocatheter-related complications with straight and coiled Tenckhoff catheters in peritoneal dialysis patients- a single-center prospective randomized trial. Perit Dial Int. 2015;35:443–9.
Kim HJ, Lee TW, Ihm CG, Kim MJ. Use of fluoroscopy-guided wire manipulation and/or laparoscopic surgery in the repair of malfunctioning peritoneal dialysis catheters. Am J Nephrol. 2002;22:532–8.
Santarelli S, Zeiler M, Marinelli R, Monteburini T, Federico A, et al. Videolaparoscopy as rescue therapy and placement of peritoneal dialysis catheters: a thirty-two case single centre experience. Nephrol Dial Transplant. 2006;21:1348–54.
Julian TB, Ribeiro U, Bruns F, Fraley D. Malfunctioning peritonel dialysis catheter repaired by laparoscopic surgery. Perit Dial Int. 1995;15:363–6.
Kim SH, Lee DH, Choi HJ, Seo HJ, Jang YS, et al. Minilaparotomy with manuel correction for malfunctioning peritoneal dialysis catheters. Perit Dial Int. 2008;28:550–4.
Cumvenda MJ, Wright FK. The use of channel-cleaning brush for malfunctioning Tenckhoff catheters. Nephrol Dial Transplant. 1999;14:1254–7.
Hummeida MA, Eltahir JMA, Ali HM, Khalid SE, Mobarak AI, et al. Successful management of an obstructed Tenckhoff catheter using an endoscopic retrograde cholangiopancreatography (ERCP) cytology brush. Perit Dial Int. 2010;30:482–4.
Leung LC, Yiu MK, Man CW, Chan WH, Lee KW, et al. Laparoscopic management of Tenckhoff catheters in continuous ambulatoty peritoneal dialysis. A one-port technique. Surg Endosc. 1998;12:891–3.
Jo YI, Shin SK, Lee JH, Song JO, Park JH. Immediate initiation of CAPD following percutaneous catheter placement without break-in procedure. Perit Dial Int. 2007;22:179–83.
Stegmayr B. Various clinical approaches to minimise complications in peritoneal dialysis. Int J Artif Organs. 2002;25:365–72.
Meier CM, Poppleton A, Fliser D, Klingele M. A novel adaptation of laparoscopic Tenckhoff catheter insertion technique to enhance catheter stability and function in automated peritoneal dialysis. Langenbeck Arch Surg. 2014;399:525–32.
Ponce D, Banin VB, Bueloni TN, Baretti P, Caramori J, et al. Different outcomes of peritoneal catheter percutaneous placement by nephrologists using a trocar versus the Seldinger technique: the experience of two Brazilian centers. Int Urol Nephrol. 2014;46:2029–34.
Bergamin B, Senn O, Corsenca A, Dutkowski P, Weber M, et al. Finding the right position: A three-year, single-center experience with the “self-locating” catheter. Perit Dial Int. 2010;30:519–23.
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Ogunc, G. (2017). Diagnosis and Management of Catheter Dysfunction. In: Haggerty, S. (eds) Surgical Aspects of Peritoneal Dialysis. Springer, Cham. https://doi.org/10.1007/978-3-319-52821-2_12
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DOI: https://doi.org/10.1007/978-3-319-52821-2_12
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