Kidney Res Clin Pract.  2014 Sep;33(3):154-156. 10.1016/j.krcp.2014.06.001.

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

• Kim Y
• Dheerendra PC
• Kim YS

• KMID: 2028691
• DOI: http://doi.org/10.1016/j.krcp.2014.06.001

Abstract

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.

Keyword

Catheter; End-stage renal disease; Peritoneal dialysis; Replantation

MeSH Terms

Adult
Catheters*
Humans
Kidney Failure, Chronic
Peritoneal Dialysis*
Peritoneal Dialysis, Continuous Ambulatory
Replantation*
Rupture