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Swan Neck Peritoneal Dialysis Catheters

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Vascular and Peritoneal Access for Dialysis

Part of the book series: Topics in Renal Medicine ((TIRM,volume 8))

Abstract

One of the most important components of the peritoneal dialysis system is a permanent and trouble-free access to the peritoneal cavity. Today, despite all the advancements in catheter technology, the Tenckhoff catheter is still the most widely used catheter [1]. Catheter-related complications such as catheter-tip migration, dialysis solution leak, and exit-site infection are frequently encountered with the use of Tenckhoff’s catheter, mainly due to improper insertion technique. Overall one-year survival of the peritoneal catheter is 60%–70% [1]. Catheter exit-site and tunnel infections are frequent in patients on CAPD and result in increased morbidity, prolonged antibiotic therapy, recurrent peritonitis, and catheter failure. According to the National CAPD Registry, 12.41% of catheters are removed because of exit-site or tunnel infection [1]. No accurate data arc available on the morbidity related to catheter exit-site infection, but according to our experience, infected exit sites require antibiotic treatment for 2.5% of the catheter life [2].

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Authors
  1. Zbylut J. Twardowski
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  2. Ramesh Khanna
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Editor information

Editors and Affiliations

  1. Department of Nephrology Second Faculty of Medicine, University of Naples, 80131, Naples, Italy

    Vittorio E. Andreucci MD (Professor of Nephrology and Chairman) (Professor of Nephrology and Chairman)

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© 1989 Kluwer Academic Publishers

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Twardowski, Z.J., Khanna, R. (1989). Swan Neck Peritoneal Dialysis Catheters. In: Andreucci, V.E. (eds) Vascular and Peritoneal Access for Dialysis. Topics in Renal Medicine, vol 8. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1589-6_16

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  • DOI: https://doi.org/10.1007/978-1-4613-1589-6_16

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8880-0

  • Online ISBN: 978-1-4613-1589-6

  • eBook Packages: Springer Book Archive

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