Skip to main content
SpringerLink
Log in
Book cover

Surgical Aspects of Peritoneal Dialysis pp 79–90Cite as

Fluoroscopic Guided Percutaneous Insertion of PD Catheters

  • Chapter
  • First Online:

  • 719 Accesses

Abstract

Peritoneal dialysis is a cost-effective modality that offers the patient the opportunity to receive dialysis in the home setting, which gives the patient more freedom to travel and work, and preserve the vascular access for future use. Percutaneous placement of peritoneal dialysis catheters using fluoroscopy and ultrasound guidance is associated with high technical success rate and low risk of complications. The procedure is performed in the outpatient setting which has the advantages of avoiding the inefficiencies related to the operating room scheduling and the need for general anesthesia. It also allows for expeditious catheter placement within 24–48 h, which is an essential component in urgent-start dialysis programs. In this chapter, the authors will discuss the technique of placement in details and will outline the indications, contraindication and outcomes of this technique compared to laparoscopic surgical placement.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. United States Renal System. USRDS 2012. Annual data report, vol. 2. Bethesda: National Institutes of Health. p. 157.

    Google Scholar 

  2. Chaudhary K, Sangha H, Khanna R. Peritoneal dialysis first: rationale. Clin J Am Soc Nephrol. 2011;6:447–56.

    Article  PubMed  Google Scholar 

  3. Mehrotra R, Chiu Y, Kalantar-Zadeh K, et al. Similar outcomes with hemodialysis and peritoneal dialysis in patients with end-stage renal disease. Arch Intern Med. 2011;171:110–8.

    Article  PubMed  Google Scholar 

  4. Kumar VA, Sidell MA, Jones JP, Vonesh EF. Survival of propensity matched incident peritoneal and hemodialysis patients in a United States health care system. Kidney Int. 2014;86:1016–22.

    Article  PubMed  Google Scholar 

  5. Ghaffari A. Urgent-start peritoneal dialysis: a quality improvement report. Am J Kidney Dis. 2012;59:400–8.

    Article  PubMed  Google Scholar 

  6. Arramreddy R, Zheng S, Saxena AB, Liebman SE, Wong L. Urgent-start peritoneal dialysis: a chance for a new beginning. Am J Kidney Dis. 2014;63:390–5.

    Article  PubMed  Google Scholar 

  7. Ghaffari A, Kumar V, Guest S. Infrastructure requirements for an urgent-start peritoneal dialysis program. Perit Dial Int. 2013;33:611–7.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Abdel-aal AK, Gaddikeri S, Saddekni S. Technique of peritoneal catheter placement under fluoroscopic guidance. Radiol Res Pract. 2011;2011:141707.

    PubMed  PubMed Central  Google Scholar 

  9. Reddy C, Dybbro PE, Guest S. Fluoroscopically guided percutaneous peritoneal dialysis catheter placement: single center experience and review of the literature. Ren Fail. 2010;32:294–9.

    Article  CAS  PubMed  Google Scholar 

  10. Abdel-aal AK, Joshi AK, Saddekni S, Maya ID. Fluoroscopic and sonographic guidance to place peritoneal catheters: how we do it. Am J Roentgenol. 2009;192:1085–9.

    Article  Google Scholar 

  11. Savader SJ. Percutaneous radiologic placement of peritoneal dialysis catheters. J Vasc Interv Radiol. 1999;10:249–56.

    Article  CAS  PubMed  Google Scholar 

  12. Savader SJ, Geschwind J, Lund GB, Scheel PJ. Percutaneous radiological placement of peritoneal dialysis catheters: long-term results. J Vasc Interv Radiol. 2000;11:965–70.

    Article  CAS  PubMed  Google Scholar 

  13. Abdel-aal AK, Dybbro P, Hathaway P, et al. Best practices consensus protocol for peritoneal dialysis catheter placement by interventional radiologists. Perit Dial Int. 2014;34:481–93.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Abdel Aal AK, Dybbro P, Hathaway P, Guest S, Neuwirth M, Krishnamurthy V. Best practice consensus protocol for peritoneal dialysis catheter placement by interventional radiologists. Perit Dial Int. 2014;34(5):481–93.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Crabtree JH, Burchette RJ. Effective use of laparoscopy for long-term peritoneal dialysis access. Am J Surg. 2009;198:135–41.

    Article  PubMed  Google Scholar 

  16. Ash SR. Chronic peritoneal dialysis catheters: overview of design, placement, and removal procedures. Semin Dial. 2003;16:323–34.

    Article  PubMed  Google Scholar 

  17. Crabtree JH, Fishman A. A laparoscopic method for optimal peritoneal dialysis access. Am J Surg. 2005;71:135–43.

    Google Scholar 

  18. Crabtree JH, Burchette RJ. Prospective comparison of downward and lateral peritoneal dialysis catheter tunnel-tract and exit-site directions. Perit Dial Int. 2006;26(6):677–83.

    PubMed  Google Scholar 

  19. Dombros N, Dratwa M, Feriani M, Gokal R, Heimburger O, Krediet R, et al. European best practice guidelines for peritoneal dialysis. 3 peritoneal access. Nephrol Dial Transplant. 2005;20(Suppl 9):ix8–ix12.

    PubMed  Google Scholar 

  20. Bernardini J, Bender F, Florio T, Sloand J, Palmmontalbano L, Fried L, et al. Randomized, double-blind trial of antibiotic exit site cream for prevention of exit site infection in peritoneal dialysis patients. J Am Soc Nephrol. 2005;16:539–45.

    Article  CAS  PubMed  Google Scholar 

  21. Piraino B, Bernardini J, Brown E, Figueiredo A, Johnson DW, Lye WC, et al. ISPD position statement on reducing the risks of peritoneal dialysis-related infections. Perit Dial Int. 2011;31:614–30.

    Article  CAS  PubMed  Google Scholar 

  22. Brunier G, Hiller JA, Drayton S, Pugash RA, Tobe SW. A change to radiological peritoneal dialysis catheter insertion: three-month outcomes. Perit Dial Int. 2010;30:528–33.

    Article  PubMed  Google Scholar 

  23. Ghaffari A. Urgent-start peritoneal dialysis: a quality improvement report. Am J Kidney Dis. 2012;59:400–8.

    Article  PubMed  Google Scholar 

  24. Voss D, Hawkins S, Poole G, Marshall M. Radiological versus surgical implantation of first catheter for peritoneal dialysis: a randomized non-inferiority trial. Nephrol Dial Transplant. 2012;27:4196–204.

    Article  PubMed  Google Scholar 

  25. Rosenthal MA, Yang PS, Liu IA, Sim JJ, Kujubu DA, Rasgon SA, et al. Comparison of outcomes of peritoneal dialysis catheters placed by the fluoroscopically guided percutaneous method versus directly visualized surgical method. J Vasc Interv Radiol. 2008;19:1202–7.

    Article  PubMed  Google Scholar 

  26. Medani S, Shantier M, Hussein W, Wall C, Mellotte G. A comparative analysis of percutaneous and open surgical techniques for peritoneal catheter placement. Perit Dial Int. 2012;32(6):628–35.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Georgiades CS, Geschwind JF. Percutaneous peritoneal dialysis catheter placement for the management of end-stage renal disease: technique and comparison with the surgical approach. Tech Vasc Interv Radiol. 2002;5:103–7.

    Article  PubMed  Google Scholar 

  28. Maher E, Wholley MJ, Abbas SA, Hawkins SP, Marshall MR. Fluoroscopic versus laparoscopic implantation of peritoneal dialysis catheters: a retrospective cohort study. J Vasc Interv Radiol. 2014;25:895–903.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL, 35249, USA

    Ahmed Kamel Abdel Aal MD, MSc, PhD

  2. Department of Radiology, Mallinckrodt Institute of Radiology, Washington University in Saint Louis, 510 S. Kingshighway Blvd, Campus Box 8131, St. Louis, MO, 63110, USA

    Nael Saad MD

  3. Department of Radiology, National Cancer Institute, Cairo, Egypt

    Wael Darwish MD

  4. Department of Radiology, Washington University, Saint Louis, MO, USA

    Nael Saad MD

  5. Department of Radiology, University of Arkansas for Medical Science, Little Rock, AR, USA

    Amr Soliman Moustafa MD, MSc

Authors
  1. Ahmed Kamel Abdel Aal MD, MSc, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nael Saad MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wael Darwish MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nael Saad MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Amr Soliman Moustafa MD, MSc
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmed Kamel Abdel Aal MD, MSc, PhD .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal and General Surgery, NorthShore University HealthSystem, Evanston, Illinois, USA

    Stephen Haggerty

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Aal, A.K.A., Saad, N., Darwish, W., Saad, N., Moustafa, A.S. (2017). Fluoroscopic Guided Percutaneous Insertion of PD Catheters. In: Haggerty, S. (eds) Surgical Aspects of Peritoneal Dialysis. Springer, Cham. https://doi.org/10.1007/978-3-319-52821-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-52821-2_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52820-5

  • Online ISBN: 978-3-319-52821-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation