Our experience of the novel "flexible stylet method" for insertion of PD catheter in eight high-risk patients. Issue 1 (December 2016)

• Record Type: Journal Article
• Authors: Terawaki, Hiroyuki; Fukushima, Naotaro; Aoyagi, Keiko; Nakajima, Aya; Nakayama, Masaaki; Karino, Tomokazu
• Is Part Of: Renal replacement therapy. Volume 2:Issue 1(2016)
• Page Start: 1
• Page End: 5
• Publication Date: 2016-12
• Subjects: Peritoneal dialysis -- Catheter implantation -- Less invasive -- Alpha replacer -- High risk cases; Kidneys -- Diseases -- Periodicals; Acute renal failure -- Treatment -- Periodicals; Kidneys -- Transplantation -- Periodicals; Hemodialysis -- Periodicals; 616.61406
• DOI: 10.1186/s41100-016-0066-7
• Languages: English
• ISSNs: 2059-1381

Abstract

Abstract Background Perforation of intra-abdominal organs such as the bowel and urinary bladder is one of the most serious complications related to peritoneal dialysis catheter (PDC) insertion procedures. Such a risk increases in patients with a history of prior abdominal surgery or irradiation. The "alpha-replacer" is a unique wire that is usually soft, but becomes harder if coiled in the hand. Application of this equipment as a stylet might improve the safety and effectiveness of PDC insertion. Case presentation A total of eight high-risk patients (organic adhesion, bleeding tendency, poor cardiac function, or malnutrition, or some of these) underwent a new peritoneal dialysis catheter (PDC) insertion procedure named "flexible stylet method" using alpha-replacer as a stylet. As a consequence, the maneuver was completed successfully in all patients and neither patient developed any major complications. Conclusions The novel "flexible stylet method" as described herein offers effective and safe treatment.