A new connecting technique in partial replantation of a ruptured peritoneal dialysis catheter

Publication date: September 2014 Source:Kidney Research and Clinical Practice, Volume 33, Issue 3 Author(s): Yaeni Kim , Prashant C. Dheerendra , Yong-Soo Kim 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.
Source: Kidney Research and Clinical Practice - Category: Urology & Nephrology Source Type: research