Kidney Week

Abstract: FR-PO1096

Moncrief-Popovich vs. Conventional Peritoneal Dialysis (PD) Catheter Placement in Planned-Start PD

Session Information

• Home Dialysis: Modalities, Barriers, Utilization, and Clinical Outcomes
  October 23, 2026 | Location: Exhibit Hall A, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

• 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

• De la Torre De la Vega, Ixchel, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Ixchel De la Torre De la Vega, MD

• Padilla Armas, Jorge Luis, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Jorge Luis Padilla Armas

• Cruz Aragon, Fernando, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Fernando Cruz Aragon, MD

• Tanaka-Gutiérrez, Jarumi Andrea, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Jarumi Andrea Tanaka-Gutiérrez

• Verdugo, Samantha Isabel, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Samantha Isabel Verdugo, MD

• Martinez, Ana Theresa, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Ana Theresa Martinez, MD

• Medina, Ramon, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Ramon Medina, MD

• Navarro Blackaller, Guillermo, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Guillermo Navarro Blackaller, MD

• Chavez, Jonathan, Hospital Civil de Guadalajara Unidad Hospitalaria Fray Antonio Alcalde, Guadalajara, Jal., Mexico

Jonathan Chavez, MD, PhD

Background

Catheter-related complications are a major cause of technique failure in peritoneal dialysis (PD). The Moncrief–Popovich (M-P) technique was developed to reduce infectious complications; however, comparative evidence remains limited.

Methods

Prospective, randomized, single-center study including adults with CKD G5 undergoing planned-start PD at Hospital Civil de Guadalajara. Patients were randomized 1:1 to conventional percutaneous catheter placement (n=31) or M-P placement (n=30) and followed for 6 months. Outcomes included infectious and mechanical complications, catheter dysfunction, and transition to hemodialysis (HD).

Results

Sixty-one patients were included. Baseline characteristics were generally comparable between groups. Early exit-site infection was significantly higher in the conventional group versus M-P (26% vs 0%, p=0.005), remaining higher during follow-up (32% vs 6.7%, p=0.012). Rates of peritonitis, tunnel infection, catheter dysfunction, and mechanical complications were similar between groups. Transition to HD was more frequent in the conventional group (25.8% vs 6.4%), although not statistically significant (p=0.081).

Conclusion

The M-P technique was associated with fewer exit-site infections compared with conventional percutaneous placement in planned-start PD and may improve PD access outcomes in resource-limited settings.