Abstract: SA-PO639
Success Rates and Safety of Two Non-Guided Percutaneous Catheter Placement Techniques for Peritoneal Dialysis in Urgent-Start Dialysis: A Single-Center Experience Retrospective Cohort Study
Session Information
- Home Dialysis - II
November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 802 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Moreno-Novales, Rafael, Hospital General Dr. Manuel Gea González, Mexico City, Mexico City, Mexico
- Martinez-Sanchez, Froylan David, Hospital General Dr. Manuel Gea González, Mexico City, Mexico City, Mexico
- Salinas-Ramirez, Mauricio Adrian, Hospital General Dr. Manuel Gea González, Mexico City, Mexico City, Mexico
- Juarez, Joana Balderas, Hospital General Dr. Manuel Gea González, Mexico City, Mexico City, Mexico
- Tenorio-Aguirre, Erika Karina, Hospital General Dr. Manuel Gea González, Mexico City, Mexico City, Mexico
Background
The optimal technique for catheter placement in uremic patients remains debated. In our center we have been using our non-guided percutaneous modified Seldinger technique. With the availability of the peritoneal dialysis catheter kit in our center, we modified our non-guided Seldinger technique for patients with urgent start dialysis requirement.
Methods
This was a single-center retrospective cohort study of patients hospitalized with urgent-start dialysis requirement of a single center in Mexico City. We aimed to summarize the success rates and safety of our two percutaneous non-guided insertion methods.
Results
A total of 117 patients with urgent-start dialysis requirement were included. Two percutaneous catheter insertion techniques were used, the non-guided percutaneous modified Seldinger technique 62.9% and the non-guided percutaneous modified Seldinger technique with peritoneal dialysis catheter kit technique 48.1%. The mean age of the patients was 54.92 ± 13.49 years, 40.5% were women, the mean body mass index (BMI) was 25.79 ± 4.77 kg/m2, BUN 95 ± 57 and the median in-hospital stay was 19.28 (10-20) days. Overall, 73.3% had diabetes, 76.7% hypertension, and the time from admission to catheter insertion was 7 (3-10) days. The analysis showed that the patients who underwent placement with peritoneal dialysis catheter kit had fewer replacement requirement (p=0.028), and there was no difference in migration, peritonitis, and catheter leak between both groups.
Conclusion
The use of the peritoneal dialysis catheter kit in urgent start dialysis requirement proved less catheter replacement.
| Variables | Peritoneal dialysis catheter kit (n= 27) | Non peritoneal dialysis catheter kit (n= 90) | p value |
| Age (years) | 56.26 ± 12.6 | 54.52 ± 13.79 | 0.171 |
| Body Mass Index (kg/m2) | 25.2 ± 4.95 | 25.95 ± 4.73 | 0.066 |
| Type 2 Diabetes (%) | 77.5 | 70.4 | 0.067 |
| Hypertension (%) | 70.4 | 78.7 | 0.689 |
| Replacement (%) | 0 | 15.7 | 0.028 |
| Catheter migration (%) | 7.4 | 14.6 | 0.329 |
| Leak (%) | 1.9 | 3.1 | 0.625 |
| Peritonitis (%) | 7.4 | 5.6 | 0.732 |