Correction of Displaced Peritoneal Dialysis Catheters with an Angular Stiff Rod
Background: Fluoroscopically guided guidewire manipulations are readily available and inexpensive methods of correcting malfunctioning peritoneal dialysis catheters, with reported success rates ranging from 25% to 67%. Purpose: To improve the success rates of guidewire manipulations with a modified...
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| Veröffentlicht in: | Acta radiologica (1987) 2009-03, Vol.50 (2), p.139-143 |
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| container_title | Acta radiologica (1987) |
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| creator | Ozyer, U. Harman, A. Aytekin, C. Boyvat, F. Ozdemir, N. |
| description | Background: Fluoroscopically guided guidewire manipulations are readily available and inexpensive methods of correcting malfunctioning peritoneal dialysis catheters, with reported success rates ranging from 25% to 67%.
Purpose: To improve the success rates of guidewire manipulations with a modified technique.
Material and Methods: Using a stiff rod and a stiff wire under fluoroscopy guidance, catheters that had migrated were drawn back into the rectovesical pouch. An angular rod was used to lever the catheter downward, and the guidewire was used to push the catheter down.
Results: No complications developed, and immediate success was achieved in 13 of 14 interventions. With this technique, catheter patency in chronic ambulatory peritoneal dialysis (CAPD) patients (11/12) was higher than that of previously reported methods. Durable success was maintained in nine of 12 patients after a single intervention. All re-manipulations (2/2) were successful.
Conclusion: Although used in only 14 interventions in 12 patients, the outcome was promising. This method is a safe and favorable alternative to other guidewire manipulations, based on absence of complications and high success. |
| doi_str_mv | 10.1080/02841850802631983 |
| format | Article |
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Purpose: To improve the success rates of guidewire manipulations with a modified technique.
Material and Methods: Using a stiff rod and a stiff wire under fluoroscopy guidance, catheters that had migrated were drawn back into the rectovesical pouch. An angular rod was used to lever the catheter downward, and the guidewire was used to push the catheter down.
Results: No complications developed, and immediate success was achieved in 13 of 14 interventions. With this technique, catheter patency in chronic ambulatory peritoneal dialysis (CAPD) patients (11/12) was higher than that of previously reported methods. Durable success was maintained in nine of 12 patients after a single intervention. All re-manipulations (2/2) were successful.
Conclusion: Although used in only 14 interventions in 12 patients, the outcome was promising. This method is a safe and favorable alternative to other guidewire manipulations, based on absence of complications and high success.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.1080/02841850802631983</identifier><identifier>PMID: 19101850</identifier><identifier>CODEN: ACRAE3</identifier><language>eng</language><publisher>London, England: Informa UK Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Emergency and intensive care: renal failure. Dialysis management ; Equipment Design ; Equipment Failure ; Female ; Fluoroscopy ; Foreign-Body Migration - therapy ; Humans ; Intensive care medicine ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Peritoneal Dialysis, Continuous Ambulatory - adverse effects ; Peritoneal Dialysis, Continuous Ambulatory - instrumentation ; Radiography, Interventional ; Treatment Outcome</subject><ispartof>Acta radiologica (1987), 2009-03, Vol.50 (2), p.139-143</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><rights>Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-2da13f04016d5fb9880bff24812d8b5077735f128bea6d5fda6b0998f83f743</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/02841850802631983$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/02841850802631983$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,61194,61375</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21167727$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19101850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozyer, U.</creatorcontrib><creatorcontrib>Harman, A.</creatorcontrib><creatorcontrib>Aytekin, C.</creatorcontrib><creatorcontrib>Boyvat, F.</creatorcontrib><creatorcontrib>Ozdemir, N.</creatorcontrib><title>Correction of Displaced Peritoneal Dialysis Catheters with an Angular Stiff Rod</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>Background: Fluoroscopically guided guidewire manipulations are readily available and inexpensive methods of correcting malfunctioning peritoneal dialysis catheters, with reported success rates ranging from 25% to 67%.
Purpose: To improve the success rates of guidewire manipulations with a modified technique.
Material and Methods: Using a stiff rod and a stiff wire under fluoroscopy guidance, catheters that had migrated were drawn back into the rectovesical pouch. An angular rod was used to lever the catheter downward, and the guidewire was used to push the catheter down.
Results: No complications developed, and immediate success was achieved in 13 of 14 interventions. With this technique, catheter patency in chronic ambulatory peritoneal dialysis (CAPD) patients (11/12) was higher than that of previously reported methods. Durable success was maintained in nine of 12 patients after a single intervention. All re-manipulations (2/2) were successful.
Conclusion: Although used in only 14 interventions in 12 patients, the outcome was promising. This method is a safe and favorable alternative to other guidewire manipulations, based on absence of complications and high success.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Equipment Design</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Foreign-Body Migration - therapy</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Peritoneal Dialysis, Continuous Ambulatory - adverse effects</subject><subject>Peritoneal Dialysis, Continuous Ambulatory - instrumentation</subject><subject>Radiography, Interventional</subject><subject>Treatment Outcome</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1rGzEQQEVIaFy3P6CXoktyW2dG-6UlJ-P0IxBwiHtfZnclW2G9ciUtwf8-MjbpIRB6kpDem4HH2DeEGYKEGxAyQ5nHqyhSrGR6xiZYACSQ5fk5mxz-kwjgJfvs_TMAijLHT-wSK4SDOGHLhXVOtcHYgVvN74zf9dSqjj8qZ4IdFPXxkfq9N54vKGxUUM7zFxM2nAY-H9ZjT46vgtGaP9nuC7vQ1Hv19XRO2ernjz-L38nD8tf9Yv6QtJmAkIiOMNWQARZdrptKSmi0FplE0ckmh7Is01yjkI2iA9FR0UBVSS1TXWbplF0fp-6c_TsqH-qt8a3qexqUHX1dFFUqyrSKIB7B1lnvndL1zpktuX2NUB8a1u8aRuf7afjYbFX3zzhFi8DVCSDfUq8dDa3xb5xALMoyrp-y2ZHztFb1sx3dEJN8uPn2KJhBW7elTawfNi25_7JfAeAGl7g</recordid><startdate>200903</startdate><enddate>200903</enddate><creator>Ozyer, U.</creator><creator>Harman, A.</creator><creator>Aytekin, C.</creator><creator>Boyvat, F.</creator><creator>Ozdemir, N.</creator><general>Informa UK Ltd</general><general>SAGE Publications</general><general>Royal Society of Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200903</creationdate><title>Correction of Displaced Peritoneal Dialysis Catheters with an Angular Stiff Rod</title><author>Ozyer, U. ; Harman, A. ; Aytekin, C. ; Boyvat, F. ; Ozdemir, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-2da13f04016d5fb9880bff24812d8b5077735f128bea6d5fda6b0998f83f743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Equipment Design</topic><topic>Equipment Failure</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Foreign-Body Migration - therapy</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Peritoneal Dialysis, Continuous Ambulatory - adverse effects</topic><topic>Peritoneal Dialysis, Continuous Ambulatory - instrumentation</topic><topic>Radiography, Interventional</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozyer, U.</creatorcontrib><creatorcontrib>Harman, A.</creatorcontrib><creatorcontrib>Aytekin, C.</creatorcontrib><creatorcontrib>Boyvat, F.</creatorcontrib><creatorcontrib>Ozdemir, N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozyer, U.</au><au>Harman, A.</au><au>Aytekin, C.</au><au>Boyvat, F.</au><au>Ozdemir, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correction of Displaced Peritoneal Dialysis Catheters with an Angular Stiff Rod</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>2009-03</date><risdate>2009</risdate><volume>50</volume><issue>2</issue><spage>139</spage><epage>143</epage><pages>139-143</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><coden>ACRAE3</coden><abstract>Background: Fluoroscopically guided guidewire manipulations are readily available and inexpensive methods of correcting malfunctioning peritoneal dialysis catheters, with reported success rates ranging from 25% to 67%.
Purpose: To improve the success rates of guidewire manipulations with a modified technique.
Material and Methods: Using a stiff rod and a stiff wire under fluoroscopy guidance, catheters that had migrated were drawn back into the rectovesical pouch. An angular rod was used to lever the catheter downward, and the guidewire was used to push the catheter down.
Results: No complications developed, and immediate success was achieved in 13 of 14 interventions. With this technique, catheter patency in chronic ambulatory peritoneal dialysis (CAPD) patients (11/12) was higher than that of previously reported methods. Durable success was maintained in nine of 12 patients after a single intervention. All re-manipulations (2/2) were successful.
Conclusion: Although used in only 14 interventions in 12 patients, the outcome was promising. This method is a safe and favorable alternative to other guidewire manipulations, based on absence of complications and high success.</abstract><cop>London, England</cop><pub>Informa UK Ltd</pub><pmid>19101850</pmid><doi>10.1080/02841850802631983</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Emergency and intensive care: renal failure. Dialysis management Equipment Design Equipment Failure Female Fluoroscopy Foreign-Body Migration - therapy Humans Intensive care medicine Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Peritoneal Dialysis, Continuous Ambulatory - adverse effects Peritoneal Dialysis, Continuous Ambulatory - instrumentation Radiography, Interventional Treatment Outcome |
| title | Correction of Displaced Peritoneal Dialysis Catheters with an Angular Stiff Rod |
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