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Semin intervent Radiol 2022; 39(01): 023-031
DOI: 10.1055/s-0041-1740940
Review Article

Peritoneal Dialysis Catheter Placement: Percutaneous and Peritoneoscopic Techniques

Husameddin El Khudari
1   Division of Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama
,
Ahmed Kamel Abdel-Aal
2   Department of Radiology, Section of Interventional Radiology, University of Texas Health Science Center at Houston, Houston, Texas
,
Masa Abaza
3   Department of Biology, University of Alaska at Anchorage, Anchorage, Alaska
,
Sloan E. Almehmi 
4   Department of Biology, University of Alabama at Birmingham, Birmingham, Alabama
,
Bharat Sachdeva
5   Department of Medicine, Louisiana State University, Baton Rouge, Louisiana
,
Ammar Almehmi
6   Department of Radiology and Medicine, University of Alabama at Birmingham, Birmingham, Alabama
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Abstract

Chronic peritoneal dialysis (PD) is an underutilized renal replacement therapy in treating end-stage renal disease that has several advantages over hemodialysis. The success of continuous ambulatory PD is largely dependent on a functional long-term access to the peritoneal cavity. Several methods have been developed to place the PD catheter using both surgical and percutaneous techniques. The purpose of this article is to describe the percutaneous techniques using fluoroscopy guidance and peritoneoscope method. While fluoroscopic method uses fluoroscopy guidance and a guidewire to place the PD catheter, the peritoneoscopic technique utilizes a needlescope to directly visualize the peritoneal space to avoid adhesions and omentum during catheter placement. These percutaneous approaches are minimally invasive procedures that can be performed on an outpatient basis without the need for general anesthesia.

Keywords

peritoneal - dialysis - renal failure - percutaneous - image-guided - interventional - peritoneoscopic - interventional radiology


Publication History

Article published online:
18 February 2022

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