A new connecting technique in partial replantation of a ruptured peritoneal dialysis catheter.
10.1016/j.krcp.2014.06.001
- Author:
Yaeni KIM
1
;
Prashant C DHEERENDRA
;
Yong Soo KIM
Author Information
1. Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea, Seoul St.Mary's Hospital, Seoul, Korea. kimcmc@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Catheter;
End-stage renal disease;
Peritoneal dialysis;
Replantation
- MeSH:
Adult;
Catheters*;
Humans;
Kidney Failure, Chronic;
Peritoneal Dialysis*;
Peritoneal Dialysis, Continuous Ambulatory;
Replantation*;
Rupture
- From:Kidney Research and Clinical Practice
2014;33(3):154-156
- CountryRepublic of Korea
- Language:English
-
Abstract:
Peritoneal dialysis catheter ruptures have been managed by immediate removal and subsequent reinsertion of the catheter which inevitably entails interruption in peritoneal dialysis and a need for vascular access. A 36-year-old man on continuous ambulatory peritoneal dialysis complaining of dialysate leakage was found to have a small rupture near the outer cuff of the peritoneal dialysis catheter. Rather than employing the traditional method of exchanging the whole catheter, a partial replantation procedure to salvage the still-functioning conduit was performed. Two peritoneal dialysis adaptors were used to connect the end of the remaining old catheter to a new extraperitoneal segment of a new catheter and a piece of a transfer set to connect the adaptors. A novel, yet simple and safe, means of partial peritoneal dialysis catheter replantation when managing catheter injuries is suggested.
