| Rational choice of peritoneal dialysis catheter. | |
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MedLine Citation:
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PMID: 17556289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The peritoneal catheter should be a permanent and safe access to the peritoneal cavity. Catheter-related problems are often the cause of permanent transfer to hemodialysis (HD) in up to 20% of peritoneal dialysis (PD) patients; in some cases, these problems require a temporary period on HD. Advances in connectology have reduced the incidence of peritonitis, and so catheter-related complications during PD have become a major concern. In the last few years, novel techniques have emerged in the field of PD: new dialysis solutions, better connectology, and cyclers for automated PD. However, extracorporeal dialysis has continued to improve in terms of methods and patient survival, but PD has failed to do so. The main reason is that peritoneal access has remained problematical. The peritoneal catheter is the major obstacle to wide-spread use of PD. Overcoming catheter-related problems means giving a real chance to development of the peritoneal technique. Catheters should be as efficient, safe, and acceptable as possible. Since its introduction in the mid-1960s, the Tenckhoff catheter has not become obsolete: dozens of new models have been proposed, but none has significantly reduced the pre-dominance of the first catheter. No convincing prospective data demonstrate the superiority of any peritoneal catheter, and so it seems that factors other than choice of catheter are what affect survival and complication rates. Efforts to improve peritoneal catheter survival and complication rates should probably focus on factors other than the choice of catheter. The present article provides an overview of the characteristics of the best-known peritoneal catheters. |
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Authors:
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Roberto Dell'Aquila; Stefano Chiaramonte; Maria Pia Rodighiero; Emilia Spanó; Pierluigi Di Loreto; Catalina Ocampo Kohn; Dinna Cruz; Natalia Polanco; Dingwei Kuang; Valentina Corradi; Massimo De Cal; Claudio Ronco |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis Volume: 27 Suppl 2 ISSN: 0896-8608 ISO Abbreviation: Perit Dial Int Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-06-08 Completed Date: 2008-01-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904033 Medline TA: Perit Dial Int Country: Canada |
Other Details:
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Languages: eng Pagination: S119-25 Citation Subset: IM |
Affiliation:
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Department of Nephrology, Dialysis, and Transplantation, St. Bortolo Hospital, Vicenza, Italy. roberto.dellaquila@ulssvicenza.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Catheters, Indwelling*
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adverse effects Equipment Design Equipment Failure Humans Infection / etiology Kidney Failure, Chronic / therapy Patient Satisfaction Peritoneal Dialysis / instrumentation* Quality of Life |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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