Abstract: FR-PO0517
Outcomes of Fluoroscopically Placed Peritoneal Dialysis Catheter
Session Information
- Home Dialysis: Clinical Epidemiology
November 07, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 802 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Asija, Ankush, Indiana University School of Medicine, Indianapolis, Indiana, United States
- Miller, Brent W., Indiana University School of Medicine, Indianapolis, Indiana, United States
- Lane, Kathleen A., Indiana University Bloomington, Bloomington, Indiana, United States
- Li, Yang, Indiana University Bloomington, Bloomington, Indiana, United States
- Gupta, Nupur, Indiana University School of Medicine, Indianapolis, Indiana, United States
Background
The Kidney Care Choices model aims to increase use of home dialysis including peritoneal dialysis. The first step to successful peritoneal dialysis is the placement of a peritoneal dialysis catheter, which can be performed by surgeons, Interventional Radiology or Interventional Nephrology. We examined the complication rate of PD catheter placed fluoroscopically by Interventional Nephrology at a large academic center over a 5-year period.
Methods
A retrospective cohort analysis of PD catheters placed fluoroscopically by Interventional Radiology over a 5-year period (from 01/01/2020-12/31/2024) was performed. We looked at number of interventions, removals and placement of second PD catheters during the same period. Kaplan-Meier probabilities were calculated for time to first intervention. Subjects who died, had a transplant or had catheter removed were censored at that time. All others were censored on 12/31/2024.
Results
We had 270 peritoneal catheters inserted during the time frame above, of which 238 patients had one PD catheter inserted and 16 patients required a second PD catheter. Mean age at first placement was 57.6 (SD=16.7) years with 40.2% females. Average BMI was 29.6 (SD=6.7). 65 (25.6%) patients either died (44, 17.3%)) or had transplant (21, 8.3%).
78.9% of the PD catheters placed had no interventions performed during 5-year period as mentioned above, 15.6% catheters had1 intervention, and 5.6% catheters required 2 or more interventions. The 90-day intervention-free probability is 89.3% (95% CI: 84.8, 92.6) while the 120-day intervention-free probability is 88.0 (95% CI: 83.3, 91.5).
Conclusion
Results of the study demonstrate good clinical outcomes with low complication rates in fluoroscopically inserted PD catheters. Tthe probability of intervention remains low both in the first 90 days and 120 days from catheter placement.