Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis A Randomized Trial

• We developed a technique for direct start of peritoneal dialysis. Using a coiled or straight Tenckhoff catheter often results in obstruction of flow. A self-locating Wolfram catheter is on the market. It is not clarified if this results in a benefit.The primary aim of this study was to perform a randomized investigation to clarify if the use of a self-locating peritoneal dialysis (PD) catheter would result in different flow problems than a straight Tenckhoff catheter.A total of 61 insertions were made who were randomized and received either a straight Tenckhoff (n = 32) or a self-locating Wolfram catheter (n = 29). A previously described operation technique allowed immediate postoperative start of dialysis. Seven straight Tenckhoff catheters had to be changed into self-locating catheters, and none vice versa, due to flow problems (P = 0.011). An early leakage resulted in temporarily postponed PD in 4 patients. This study showed that using the present operation technique the self-locating PD-catheter causes fewer obstruction episodes than a straight Tenckhoff catheter. This facilitates immediate postoperative start of PD.

Ämnesord

Medical and Health Sciences  (hsv)

Clinical Medicine  (hsv)

Urology and Nephrology  (hsv)

Medicin och hälsovetenskap  (hsv)

Klinisk medicin  (hsv)

Urologi och njurmedicin  (hsv)

Nyckelord

protein aggregation

neurodegeneration

strain

amyotrophic lateral sclerosis

transgenic mice