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Interventional Nephrology pp 293–317Cite as

Operative Considerations for Peritoneal Dialysis Catheter

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Abstract

Peritoneal dialysis is a very effective therapy in ESRD patients, especially when combined with some residual renal function. Peritonitis is the most common reason for transfer from peritoneal dialysis to other therapies, but catheter failure is the next most common cause. The success of peritoneal dialysis catheters is dependent upon the method of placement and the catheter design chosen but more dependent upon the skill and experience of the physician placing the catheter. This chapter reviews the types of catheters available currently and recently, proper location of catheter components, preoperative evaluation of the patient including ultrasound of the abdominal wall and peritoneum, overview of methods of placement, embedding of PD catheters and exteriorization, catheter repositioning, repair of pericatheter leaks and hernias, and catheter removal.

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Author information

Authors and Affiliations

  1. Indiana University Health Arnett, Lafayette, Indiana, USA

    Stephen R. Ash MD, FACP

  2. HemoCleanse, Inc. and Ash Access Technology, Inc., 3601 Sagamore Parkway North, Suite B, Lafayette, Indiana, 47905, USA

    Stephen R. Ash MD, FACP

  3. Clinical and Interventional Nephrology, San Antonio Kidney Disease Center, San Antonio, TX, USA

    Rajeev Narayan MD

  4. Division of Nephrology, The Ohio State University, 395 W 12th Avenue, Ground Floor, Columbus, OH, 43210, USA

    Anil K. Agarwal MD, FACP, FASN, FNKF

  5. Department of Surgery, Kaiser Permanente, Bellflower, CA, USA

    John H. Crabtree MD, FACP, FASN, FNKF

Authors
  1. Stephen R. Ash MD, FACP
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  2. Rajeev Narayan MD
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  3. Anil K. Agarwal MD, FACP, FASN, FNKF
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  4. John H. Crabtree MD, FACP, FASN, FNKF
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Corresponding author

Correspondence to Stephen R. Ash MD, FACP .

Editor information

Editors and Affiliations

  1. Department of Medicine (CHS), Division of Nephrology, Madison, Wisconsin, USA

    Alexander S. Yevzlin

  2. Medicine, Nephrology and Hypertension, Albany Medical College, Albany, New York, USA

    Arif Asif

  3. Interventional Nephrology Nephrology and Hypertension, University of Miami Miller School of Med, Miami, Florida, USA

    Loay Salman

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Ash, S.R., Narayan, R., Agarwal, A.K., Crabtree, J.H. (2014). Operative Considerations for Peritoneal Dialysis Catheter. In: Yevzlin, A., Asif, A., Salman, L. (eds) Interventional Nephrology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8803-3_32

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  • DOI: https://doi.org/10.1007/978-1-4614-8803-3_32

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  • Online ISBN: 978-1-4614-8803-3

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