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
