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KMID : 0359920140330030154
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Korean Journal of Nephrology
2014 Volume.33 No. 3 p.154 ~ p.156
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A new connecting technique in partial replantation of a ruptured peritoneal dialysis catheter
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Kim Yae-Ni
Dheerendra Prashant C
Kim Yong-Soo
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Abstract
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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.
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KEYWORD
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Catheter, End-stage renal disease, Peritoneal dialysis, Replantation
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