Bert Bammens, Domien Peeters, Joris Jaekers, Kathleen J Claes, Pieter Evenepoel, Dirk Kuypers, Björn Meijers, Maarten Naesens, Yves Vanrenterghem, Diethard Monbaliu
Functional catheter problems are a major challenge for peritoneal dialysis (PD) programs. Here we performed a retrospective single-center study of 110 consecutive patients receiving a first PD catheter (swan neck double-cuff Missouri curled catheters, open surgical technique). Using postimplantation X-ray, the following categories were defined: swan neck angle (posterioanterio view (PA): under 45°, 45-90°, over 90°), inclination (angle between intramural part of catheter and horizontal line; lateral view: greater than/equal to 30°, under 30°), and the position of silicone bead relative to spine (PA view: L1-2, L3-4, lower) and catheter tip (PA view: hypogastric, umbilical, subcostal)...
November 2014: Kidney International