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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 ra...

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Autores principales: Stegmayr, Bernd G., Sperker, Wolfgang, Nilsson, Christina H., Degerman, Christina, Persson, Sven-Erik, Stenbaek, Jan, Arnerlöv, Conny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674194/
https://www.ncbi.nlm.nih.gov/pubmed/26632891
http://dx.doi.org/10.1097/MD.0000000000002083
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author Stegmayr, Bernd G.
Sperker, Wolfgang
Nilsson, Christina H.
Degerman, Christina
Persson, Sven-Erik
Stenbaek, Jan
Arnerlöv, Conny
author_facet Stegmayr, Bernd G.
Sperker, Wolfgang
Nilsson, Christina H.
Degerman, Christina
Persson, Sven-Erik
Stenbaek, Jan
Arnerlöv, Conny
author_sort Stegmayr, Bernd G.
collection PubMed
description 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.
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spelling pubmed-46741942015-12-14 Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial Stegmayr, Bernd G. Sperker, Wolfgang Nilsson, Christina H. Degerman, Christina Persson, Sven-Erik Stenbaek, Jan Arnerlöv, Conny Medicine (Baltimore) 7100 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. Wolters Kluwer Health 2015-12-07 /pmc/articles/PMC4674194/ /pubmed/26632891 http://dx.doi.org/10.1097/MD.0000000000002083 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7100
Stegmayr, Bernd G.
Sperker, Wolfgang
Nilsson, Christina H.
Degerman, Christina
Persson, Sven-Erik
Stenbaek, Jan
Arnerlöv, Conny
Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial
title Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial
title_full Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial
title_fullStr Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial
title_full_unstemmed Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial
title_short Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial
title_sort few outflow problems with a self-locating catheter for peritoneal dialysis: a randomized trial
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674194/
https://www.ncbi.nlm.nih.gov/pubmed/26632891
http://dx.doi.org/10.1097/MD.0000000000002083
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