Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Swan neck presternal catheter for continuous ambulatory peritoneal dialysis in children

  • 17 Accesses

  • 11 Citations


Since 15 December 1991 four swan neck presternal catheters (SNPC) have been implanted in four children aged 2–11 years. The observation period ranged from 4 to 10 months. The aim of this study was to evaluate the usefulness of a new peritoneal dialysis catheter implantation method in paediatric patients. The indications for insertion of the SNPC were: young age, use of nappies, obesity and recurrent exit site infection (ESI). The surgical technique of the SNPC implantation was similar to that used for adults. The chest location of the catheter exit site is advantageous for the following reasons: (1) easier care of a small child because of greater distance from nappies, (2) better healing and decreased risk of ESI in the area with less fat thickness and (3) less trauma. A larger number of children with a longer follow-up is necessary for better evaluation of the SNPC, as well as for estimation of frequency of ESI and peritonitis.

This is a preview of subscription content, log in to check access.


  1. 1.

    Twardowski ZJ, Nichols WK, Nolph KD, Khanna R (1992) Swan neck presternal (“bath tub”) catheter for peritoneal dialysis. Adv Perit Dial 8:316–324

  2. 2.

    Balfe JW, Stefanidis CJ, Steele BT, Hewitt IK (1984) Continuous ambulatory peritoneal dialysis: clinical aspects (12). In: Fine RN, Gruskin AB (eds) End stage renal disease in children. Saunders, Philadelphia, pp 135–148

  3. 3.

    Alexander SR, Tank ES (1982) Surgical aspects of continuous ambulatory peritoneal dialysis in infants, children and adolescents. J Urol 127:501–504

  4. 4.

    Orkin BA, Fonkalsrud EW, Salusky IB, Ettenger RB, Hall T, Jordan SC, Fine RN (1983) Continuous, ambulatory peritoneal dialysis catheters in children. Arch Surg 118:1398–1402

  5. 5.

    Buntain WL (1985) A new technique for the placement of CAPD catheters in infants and small children. Surg Gynecol Obstet 160:362–364

  6. 6.

    Stone MM, Fonkalsrud EW, Salusky IB, Takiff H, Hall T, Fine RN (1986), Surgical management of peritoneal dialysis catheters in children: five-year experience with 1.800 patient-month follow-up. J Pediatr Surg 21:1177–1181

Download references

Author information

Correspondence to Maria Sieniawska.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Sieniawska, M., Roszkowska-Blaim, M. & Warchol, S. Swan neck presternal catheter for continuous ambulatory peritoneal dialysis in children. Pediatr Nephrol 7, 557–558 (1993). https://doi.org/10.1007/BF00852548

Download citation

Key words

  • Swan neck presternal catheter
  • Peritoneal dialysis catheter
  • Continuous ambulatory peritoneal dialysis
  • End-stage renal disease