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Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience

Minimally invasive peritoneal dialysis (PD) catheterization is increasingly common, and percutaneous PD catheters may be placed using a trocar or the Seldinger technique. There are few reports of pediatric percutaneous PD catheter insertion. We retrospectively compared the outcomes from percutaneous...

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Autores principales: Yu, Yang, Xie, Qing, Chen, Yaxian, Hu, Wanmei, Zhang, Panpan, Huang, Shi, Yang, Fengjie, He, Yonghua, Yi, Yonghong, Zhou, Jianhua, Zhang, Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9279687/
https://www.ncbi.nlm.nih.gov/pubmed/35844740
http://dx.doi.org/10.3389/fped.2022.917720
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author Yu, Yang
Xie, Qing
Chen, Yaxian
Hu, Wanmei
Zhang, Panpan
Huang, Shi
Yang, Fengjie
He, Yonghua
Yi, Yonghong
Zhou, Jianhua
Zhang, Yu
author_facet Yu, Yang
Xie, Qing
Chen, Yaxian
Hu, Wanmei
Zhang, Panpan
Huang, Shi
Yang, Fengjie
He, Yonghua
Yi, Yonghong
Zhou, Jianhua
Zhang, Yu
author_sort Yu, Yang
collection PubMed
description Minimally invasive peritoneal dialysis (PD) catheterization is increasingly common, and percutaneous PD catheters may be placed using a trocar or the Seldinger technique. There are few reports of pediatric percutaneous PD catheter insertion. We retrospectively compared the outcomes from percutaneous placement of Tenckhoff catheters using a modified Seldinger technique with catheter placement by open surgery. This single-center retrospective study compared 14 pediatric patients who received percutaneous PD catheter insertion using an ultrasound-guided modified Seldinger technique (August 2018–February 2021) with 10 patients who received open-surgical PD catheter insertion (2015–2018). Complications and catheter survival were evaluated. The overall technical success rate was 100%, but the Seldinger technique required less time (30 vs. 45 min) and smaller incisions (1.1 vs. 4.4 cm). The early complications in the Seldinger and control groups were bleeding (1 vs. 0), catheter dysfunction (1 vs. 1), abdominal pain (3 vs. 7), and exit leakage (0 vs. 1). In the Seldinger group, the median time from insertion to first use was 3 days, and the minimum follow-up was 6 months. Catheter survival at 6 months was 93% (Seldinger group) and 90% (open surgery group). The adoption of this technique at our institution led to a significant increase in the percentage of new pediatric dialysis patients commencing PD rather than hemodialysis. Collectively, the modified Seldinger technique described here was safe and feasible in pediatric patients. This approach is simpler and more rapid than open surgery, and reduces early complications and increases PD uptake.
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spelling pubmed-92796872022-07-15 Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience Yu, Yang Xie, Qing Chen, Yaxian Hu, Wanmei Zhang, Panpan Huang, Shi Yang, Fengjie He, Yonghua Yi, Yonghong Zhou, Jianhua Zhang, Yu Front Pediatr Pediatrics Minimally invasive peritoneal dialysis (PD) catheterization is increasingly common, and percutaneous PD catheters may be placed using a trocar or the Seldinger technique. There are few reports of pediatric percutaneous PD catheter insertion. We retrospectively compared the outcomes from percutaneous placement of Tenckhoff catheters using a modified Seldinger technique with catheter placement by open surgery. This single-center retrospective study compared 14 pediatric patients who received percutaneous PD catheter insertion using an ultrasound-guided modified Seldinger technique (August 2018–February 2021) with 10 patients who received open-surgical PD catheter insertion (2015–2018). Complications and catheter survival were evaluated. The overall technical success rate was 100%, but the Seldinger technique required less time (30 vs. 45 min) and smaller incisions (1.1 vs. 4.4 cm). The early complications in the Seldinger and control groups were bleeding (1 vs. 0), catheter dysfunction (1 vs. 1), abdominal pain (3 vs. 7), and exit leakage (0 vs. 1). In the Seldinger group, the median time from insertion to first use was 3 days, and the minimum follow-up was 6 months. Catheter survival at 6 months was 93% (Seldinger group) and 90% (open surgery group). The adoption of this technique at our institution led to a significant increase in the percentage of new pediatric dialysis patients commencing PD rather than hemodialysis. Collectively, the modified Seldinger technique described here was safe and feasible in pediatric patients. This approach is simpler and more rapid than open surgery, and reduces early complications and increases PD uptake. Frontiers Media S.A. 2022-06-30 /pmc/articles/PMC9279687/ /pubmed/35844740 http://dx.doi.org/10.3389/fped.2022.917720 Text en Copyright © 2022 Yu, Xie, Chen, Hu, Zhang, Huang, Yang, He, Yi, Zhou and Zhang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Yu, Yang
Xie, Qing
Chen, Yaxian
Hu, Wanmei
Zhang, Panpan
Huang, Shi
Yang, Fengjie
He, Yonghua
Yi, Yonghong
Zhou, Jianhua
Zhang, Yu
Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience
title Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience
title_full Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience
title_fullStr Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience
title_full_unstemmed Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience
title_short Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience
title_sort ultrasound-guided modified seldinger placement of tenckhoff catheters in pediatric patients undergoing peritoneal dialysis: single center experience
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9279687/
https://www.ncbi.nlm.nih.gov/pubmed/35844740
http://dx.doi.org/10.3389/fped.2022.917720
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