Abstract: FR-PO531
Surgical and Image-Guided Percutaneous Peritoneal Dialysis Catheter Placement Associated With Similar Outcomes: A Single-Center Retrospective Study in Canada
Session Information
- Home Dialysis, Policy, Novel Approaches
November 04, 2022 | Location: Exhibit Hall, Orange County Convention Center‚ West Building
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 702 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Ait Zaid, Kahina, Universite de Montreal, Montreal, Quebec, Canada
- Heniche, Yaniss, Universite de Sherbrooke, Sherbrooke, Quebec, Canada
- Ethier, Isabelle, Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
Background
The current ISPD guidelines do not recommend any specific peritoneal dialysis (PD) catheter placement technique due to lack of demonstrated superiority of one technique over the others. We aimed to evaluate outcomes following catheter placement in our center, comparing surgical placement and image-guided percutaneous insertion.
Methods
In this retrospective cohort study, all patients (prevalent and incident) enrolled in our PD program from June 2017 until December 2021 were included. Incidence of immediate complications and early (<30 days) exit-site infections and peritonitis were evaluated. Time-to-first peritonitis and first exit-site infection were also analyzed using the Kaplan-Meier product-limit method and log-rank test.
Results
Of the 73 patients enrolled in our PD program during the study period, 39 and 34 underwent surgical and percutaneous catheter placement, respectively. Baseline characteristics were similar in both groups, except for history of cancer, year of PD start and left/right localization of the peri-umbilical catheter exit-site. There were 1 and 3 immediate complications; 2 and 1 early exit-site infections; 0 and 1 (associated to an immediate complication) early peritonitis in the surgical and percutaneous groups, respectively. Two patients in each group required repositioning or new catheter placement within 90 days of the first intervention. Percutaneous catheter placement showed similar time-to-first peritonitis (p=0.35) and time-to-first exit-site infection (p=0.30) compared to surgical placement.
Conclusion
Surgical and percutaneous PD catheter placement showed similar outcomes in our center. Future studies could also evaluate other aspects of catheter placement techniques, such as cost and patient experience.