Nephrology Dialysis Transplantation, Vol 12, Issue 12 2664-2666, Copyright © 1997 by Oxford University Press
B Eklund, E Honkanen, L Kyllonen, K Salmela and A Kala
Background: A prerequisite to the technical success of
chronic peritoneal dialysis is a functioning peritoneal catheter. The
option of using Tenckhoff catheters with single or double Dacron cuffs has
been available for almost 3 decades, but still there is no consensus as to
which is the preferable type. Methods: Sixty
consecutive patients requiring a catheter for CAPD were randomized to
receive either a straight deep single-cuff Tenckhoff catheter or a
double-cuff Tenckhoff catheter. The catheters were surgically inserted.
Results: There were no early failures. Two
subcutaneous cuff extrusions were treated with shaving of the cuff. In the
long term, eight patients in both groups required transfer to haemodialysis
(5 and 3 prolonged peritonitis, 1 and 0 exit-site infection, 2 and 5 unable
to cope or inadequacy of dialysis). There was no significant difference in
the probability of developing first episode or peritonitis or exit site
infection between the groups. Overall probability of catheter survival was
95.5 and 96.7% at 1 year, 82.7 and 79.9% at 2 in the two groups
respectively. Conclusions: There was no significant
difference between catheters with single or doble cuffs with respect to
catheter survival, episodes of peritonitis and exit-site infections.
Key words: catheter implantation; peritoneal dialysis;
straight Tenckhoff catheter
ORIGINAL ARTICLES
Peritoneal dialysis access: prospective randomized comparison of single-cuff and double-cuff straight Tenckhoff catheters
Departments of Surgery and Medicine, Division of Transplantation, Division of Nephrology, Helsinki University Central Hospital, Kasarmikatu 11-13, FIN-00130 Helsinki, Finland; Corresponding author
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