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Nephrol Dial Transplant (2002) 17: 210-212
© 2002 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Peritoneal dialysis catheters: the beauty of simplicity or the glamour of technicality? Percutaneous vs surgical placement

Nic Veys, Wim Van Biesen, Raymond Vanholder and Norbert Lameire

Renal Division, Department of Internal Medicine, University Hospital, Gent, Belgium

Keywords: peritoneal dialysis catheters; percutaneous implantation; surgical placement

Introduction

Uncomplicated access to the peritoneal cavity using a permanent in-dwelling catheter is a key factor for successful peritoneal dialysis (PD). Since the introduction of the Tenckhoff catheter [1], different catheter designs (arcuate swan neck or not, number of cuffs, straight or curled intraperitoneal part) [2–4] placement modalities (surgical laparatomy, bedside, laparoscopic) [5], paramedian vs median insicion and different locations of the exit site (abdominal or thoracic) [6] have been proposed to reduce complications. The latter include migrations of the catheter, clotting, exit-site infection, and leakage.

The question ‘what defines a good peritoneal access?’ has many potential answers. Some clinicians will argue that the long-term reliability regarding flow is most important, others will point to the prevention of exit-site infection and peritonitis, and still others will look at the price or the simplicity and safety . . . [Full Text of this Article]

Catheter design

Implantation technique

Conclusion

Notes

References


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