Long-Term Prognosis of Peritoneal Dialysis Patients with a Re-embedded Catheter
Sakurada, T.; Kaneshiro, N.; Taki, Y.; Kojima, S.; Koitabashi, K.; Sueki, S.; Shibagaki, Y.
Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis 33(2017): 31-34
2017
ISSN/ISBN: 1197-8554 PMID: 29668428 Document Number: 693898
Upon peritoneal dialysis (PD) discontinuation in frail patients, we have re-embedded the catheter and left it subcutaneously buried. However, we have not evaluated the long-term prognosis of those patients after the procedure or the complications associated with buried catheters. We therefore aimed to clarify the long-term prognosis of patients with a re-embedded catheter and to identify any associated complications.The outcomes of 10 patients having a catheter that was re-embedded between February 2010 and May 2016 were assessed by interviewing the patients or their families (when possible), and by reviewing medical records.Catheter re-embedding to reduce the surgical burden was elected by 7 patients, and 3 patients underwent re-embedding because they wanted to resume PD in the future. By the time of the interviews, 6 patients had already died of causes that were unrelated either to the buried catheter or infection. No abnormality was found in any buried catheter. A re-embedded catheter was later externalized to resume PD in 1 of the 4 patients who survived.Catheter re-embedding is safe and allows for PD resumption at the terminal stage of dialysis.