Fluoroscopically guided percutaneous peritoneal dialysis catheter placement: single center experience and review of the literature

Figures & data

TABLE 1.  Patient characteristics

Patients	n = 64
Range in ages	24–90 years old
Gender	41 males, 23 females
Etiology of ESRD	DM 35, HTN 14, ATN 4, ADPKD 3, GN 5 Failed transplant 3

TABLE 2.  Complications encountered within 1 month of catheter placement (n = 64)

Exitsite leakage	1
Bleeding – major	0
Bleeding – minor	4
Catheter migration	3
Exitsite infection	0
Tunnel infection	0
Peritonitis	0
Hydrothorax	1
Hernia	1
Bowel perforation	0
Bladder perforation	0

TABLE 3.  Other clinical experiences with percutaneous fluoroscopically guided PD catheter placement

Author	Vaux^10	Rosenthal^16	Moon^14	Maya^23	Jacobs^12	Zaman^15	Savader^11
Catheters attempted	209	52	134	32	45	36	19
Success rate (%)	97.6	100	100	97	96	94	95
Early complications
Bladder perforation	0/200	NR	0/134	0/32	0/45	0/34	0/19
Bowel perforation	0/200	NR	0/134	1/32	2/45	0/34	0/19
Early leaks	10/200	2/52	4/134	0/32	3/45	1/34	0/19
Exit-site infections	13/200	1/52	11/134	0/32	NR	0/34	0/19
Peritonitis	3/200	0/52	4/134	0/32	7/45	2/36	1/19
Catheter dysfunction	14/200	5/52	3/134	1/32	9/45	1/34	0/19
Bleeding	N.R.	1/52	1/134	0/32	3/45	1/34	1/34

Note: NR, not reported.

Vaux E, Torrie P, Barker L, Naik R, Gibson M. Percutaneous fluoroscopically guided placement of peritoneal dialysis catheters- a 10-year experience. Semin Dial. 2008;21:459–465.

 Google Scholar

Rosenthal M, Yang P, Liu I, Comparison of outcomes of peritoneal dialysis catheters placed by the fluoroscopically guided percutaneous method versus directly visualized surgical method. J Vasc Interv Radiol. 2008;19:1202–1207.

 Google Scholar

Moon J, Song S, Jung K, Fluoroscopically guided peritoneal dialysis catheter placement: Long-term results from a single center. Perit Dial Int. 2008;28:163–169.

 PubMed Web of Science ®Google Scholar

Maya ID. Ultrasound/fluoroscopy-assisted placement of peritoneal dialysis catheters. Semin Dial. 2007;20:611–615.

 Google Scholar

Jacobs IG, Gray RR, Elliott DS, Grosman H. Radiologic placement of peritoneal dialysis catheters: Preliminary experience. Radiology. 1992;182:251–255.

 PubMed Web of Science ®Google Scholar

Zaman F, Pervez A, Atray N, Murphy S, Work J, Abreo K. Fluoroscopy-assisted placement of peritoneal dialysis catheters by nephrologists. Semin Dial. 2005;18:247–251.

 Google Scholar

Savader S, Geschwind J, Lund G, Scheel P. Percutaneous radiologic placement of peritoneal dialysis catheters: Long-term results. J Vasc Interv Radiol. 2000;11:965–970.

 PubMed Web of Science ®Google Scholar