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Al-Hwiesh AK, Abdul-Rahman IS, Divino-Filho JC, Nasreldin MA, Al-Hwiesh AA, Al-Audah N, Althubaini HH, Abdulgalil M, Salah GA, Al-Baggal MZ, Abu-Oun BA, Al-Audah N, Al-Ramadan HS, Alfalah K, Almarri Z, Al-Awal AA. A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study. Ther Apher Dial 2024; 28:89-95. [PMID: 37583361 DOI: 10.1111/1744-9987.14045] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 06/29/2023] [Accepted: 08/03/2023] [Indexed: 08/17/2023]
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.
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Affiliation(s)
- Abdullah K Al-Hwiesh
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Ibrahiem Saeed Abdul-Rahman
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | | | - Mohamed A Nasreldin
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Amani A Al-Hwiesh
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Nadia Al-Audah
- Ministry of Health, Dammam Central Hospital, Dammam, Saudi Arabia
| | - Hatem H Althubaini
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Moaz Abdulgalil
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Ghassan A Salah
- Ministry of Health, King Fahd Hospital, Al-Hassa, Saudi Arabia
| | | | | | - Nehad Al-Audah
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | | | - Kaltham Alfalah
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Zahra Almarri
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Ayat A Al-Awal
- Deparment of Nephrolgy, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
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