Catheter salvage using revision for a peritoneal dialysis catheter with intractable exit site and/or tunnel infections. Issue 1 (4th May 2022)

• Record Type: Journal Article
• Authors: Kang, Seok Hui; Cho, Kyu Hyang; Kim, A Young; Do, Jun Young
• Is Part Of: Seminars in dialysis. Volume 36:Issue 1(2023)
• Page Start: 53
• Page End: 56
• Publication Date: 2022-05-04
• Subjects: Hemodialysis -- Periodicals; Dialysis -- Periodicals; Renal Dialysis -- Periodicals; 617.461059
• DOI: 10.1111/sdi.13094
• Languages: English
• ISSNs: 0894-0959

Abstract

Abstract: Background: In case of intractable exit site and/or tunnel infections, peritoneal dialysis (PD) catheter removal and re‐insertion are recommended. Previous studies have reported the possibility of catheter salvage before removal, but they were either case‐series or had a small sample size. Methods: We identified all incident patients with PD who underwent revision at a tertiary medical center. In intractable exit site and/or tunnel infections, we tried catheter revision using a method with cuff shaving, using an original catheter, and creating a new tunnel. Revision success was defined as complete remission over more than 1 month after revision. We evaluated the infection‐free and catheter survival rates. Results: In total, 52 patients with PD underwent revision. The median age at the time of revision in the patients undergoing PD was 51 (21) years. There were 43 (82.7%) cases of revision success. Infection‐free survival rates at 6 and 12 months were 57.0% and 35.1%, respectively. Catheter survival rates at 12 and 36 months were 72.5% and 56.2%, respectively. Conclusion: The present study demonstrated that catheter revision can be a useful bridging method for original catheter salvage before catheter removal in intractable exit site and/or tunnel infections.