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Few Outflow Problems With a Self-locating Catheter for Peritoneal Dialysis: A Randomized Trial
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
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2015 (English)In: Medicine (Baltimore, Md.), ISSN 0025-7974, E-ISSN 1536-5964, Vol. 94, no 48, e2083Article in journal (Refereed) Published
Abstract [en]

We developed a technique for direct start of peritoneal dialysis. Using a coiled or straight Tenckhoff catheter often results in obstruction of flow. A self-locating Wolfram catheter is on the market. It is not clarified if this results in a benefit.The primary aim of this study was to perform a randomized investigation to clarify if the use of a self-locating peritoneal dialysis (PD) catheter would result in different flow problems than a straight Tenckhoff catheter.A total of 61 insertions were made who were randomized and received either a straight Tenckhoff (n = 32) or a self-locating Wolfram catheter (n = 29). A previously described operation technique allowed immediate postoperative start of dialysis. Seven straight Tenckhoff catheters had to be changed into self-locating catheters, and none vice versa, due to flow problems (P = 0.011). An early leakage resulted in temporarily postponed PD in 4 patients. This study showed that using the present operation technique the self-locating PD-catheter causes fewer obstruction episodes than a straight Tenckhoff catheter. This facilitates immediate postoperative start of PD.

Place, publisher, year, edition, pages
2015. Vol. 94, no 48, e2083
Keyword [en]
protein aggregation, neurodegeneration, strain, amyotrophic lateral sclerosis, transgenic mice
National Category
Urology and Nephrology
URN: urn:nbn:se:umu:diva-120206DOI: 10.1097/MD.0000000000002083ISI: 000369540400006PubMedID: 26632891OAI: diva2:927150
Available from: 2016-05-11 Created: 2016-05-11 Last updated: 2016-06-02Bibliographically approved

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Stegmayr, Bernd G.Persson, Sven-ErikArnerlöv, Conny
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