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Indian J Nephrol. 2016 Sep;26(5):343-346. doi: 10.4103/0971-4065.167274.

Swan-neck versus straight peritoneal dialysis catheter: Long-term effect on patient and method survival.

Indian journal of nephrology

V Filiopoulos, D Biblaki, L Takouli, A Dounavis, D Hadjiyannakos, D Vlassopoulos

Affiliations

  1. Department of Nephrology, Sismanogleion-Amalia Fleming General Hospital, Athens, Greece.
  2. Department of Surgery, Sismanogleion-Amalia Fleming General Hospital, Athens, Greece.

PMID: 27795628 PMCID: PMC5015512 DOI: 10.4103/0971-4065.167274

Abstract

Peritoneal dialysis (PD) is limited mainly by a higher technique failure rate as compared to hemodialysis (HD), catheter malfunction being an important reason. Intra- and extra-peritoneal catheter configuration may be associated with mechanical and infectious complications affecting method survival. We report our experience with two extra-peritoneal catheter configurations: the straight and the swan-neck (SN) catheters. A total of 85 consecutive patients, 58 males and 27 females were included in the study. Among them, 26 were diabetics; 52 were treated with automated PD (APD) and 33 with continuous ambulatory PD (CAPD). Straight catheters were used in 38 patients (straight group) and SN catheters in 47 patients (SN group). Straight catheters were mostly used in the first 6-year period while SN catheters in the last 6-year period. The baseline demographics were similar between the two groups. A significantly higher frequency of APD use was observed in SN group. Technique survival was better with SN versus straight (log-rank test,

Keywords: End-stage renal disease; outcomes; peritoneal catheter; peritoneal dialysis; survival

References

  1. Kidney Int. 2014 Apr;85(4):920-32 - PubMed
  2. Am J Kidney Dis. 2011 Dec;58(6):946-55 - PubMed
  3. Clin J Am Soc Nephrol. 2012 Jul;7(7):1145-54 - PubMed
  4. Adv Ren Replace Ther. 2000 Oct;7(4):324-37 - PubMed
  5. Kidney Int. 2014 Apr;85(4):741-3 - PubMed
  6. Perit Dial Int. 2010 Mar-Apr;30(2):170-7 - PubMed
  7. Perit Dial Int. 2005 Mar-Apr;25(2):132-9 - PubMed
  8. J Am Soc Nephrol. 2007 Dec;18(12):3023-5 - PubMed

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