Peritoneal dialysis access: prospective randomized comparison of single-cuff and double-cuff straight Tenckhoff catheters

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
B EklundA R Kala

Abstract

A prerequisite to the technical success of chronic peritoneal dialysis is a functioning peritoneal catheter. The option of using Tenckhoff catheters with single or double Dacron cuffs has been available for almost 3 decades, but still there is no consensus as to which is the preferable type. Sixty consecutive patients requiring a catheter for CAPD were randomized to receive either a straight deep single-cuff Tenckhoff catheter or a double-cuff Tenckhoff catheter. The catheters were surgically inserted. There were no early failures. Two subcutaneous cuff extrusions were treated with shaving of the cuff. In the long term, eight patients in both groups required transfer to haemodialysis (5 and 3 prolonged peritonitis, 1 and 0 exit-site infection, 2 and 5 unable to cope or inadequacy of dialysis). There was no significant difference in the probability of developing first episode of peritonitis or exit site infection between the groups. Overall probability of catheter survival was 95.5 and 96.7% at 1 year, 82.7 and 79.9% at 2 in the two groups respectively. There was no significant difference between catheters with single or double cuffs with respect to catheter survival, episodes of peritonitis and exit-site infections.

Citations

Feb 5, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Vimal ChadhaBradley A Warady
Jan 28, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Sharon J NessimSarbjit V Jassal
Oct 8, 2004·Nephrology·UNKNOWN Caring for Australians with Renal Impairment (CARI)
Aug 8, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Bradley A WaradyFranz Schaefer
Jul 25, 2014·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Alicia M NeuUNKNOWN SCOPE Collaborative Participants
Mar 29, 2011·Seminars in Nephrology·Sharon J Nessim
Jan 22, 2011·The Veterinary Clinics of North America. Small Animal Practice·Rachel L Cooper, Mary Anna Labato
Nov 17, 2007·American Journal of Surgery·Aakash H GajjarWilliam C Jennings
Oct 9, 2014·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Denise J CampbellJonathan C Craig
Sep 18, 2013·The Journal of Vascular Access·Christine HwangMaurizio Gallieni
Mar 10, 2015·The Journal of Vascular Access·Maurizio GallieniMaurizio Cariati
Feb 27, 2018·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Sarah J SwartzMichael J G Somers
Oct 21, 2004·The Cochrane Database of Systematic Reviews·G F M StrippoliJ C Craig
Dec 9, 2009·Expert Review of Anti-infective Therapy·Katherine A BarracloughDavid W Johnson
Aug 31, 2019·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Narayan PrasadAmit Gupta
Apr 28, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·John H CrabtreeFrank J M F Dor
Apr 1, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Cheuk-Chun SzetoEdwina A Brown
Mar 9, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Catarina MengManuel Pestana
Dec 19, 2014·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Benjamin ShiffJeffrey Perl
Jun 11, 2016·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Philip Kam-Tao LiDavid W Johnson
Sep 4, 2014·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Juan J Sanchez-CanelDavid Casado
Aug 28, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association· Ozener CE Akoglu
Jan 20, 2006·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Stefano SantarelliEmilio Ceraudo
Jun 3, 2017·International Urology and Nephrology·Vassilios LiakopoulosTheodoros Eleftheriadis
Feb 18, 2006·The International Journal of Artificial Organs·S R Ash
Jun 21, 2002·The International Journal of Artificial Organs·B Stegmayr
Feb 18, 2006·The International Journal of Artificial Organs·R Dell'aquilaC Ronco
Oct 28, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Mohamed ElboklJeffrey Perl
Sep 7, 2020·Advances in Chronic Kidney Disease·Ali I GardeziRajeev Narayan
Apr 23, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Emma ElphickMark Lambie
Nov 3, 2006·Kidney International. Supplement·F H BenderB Piraino

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
M F GadallahS Tatro
Advances in Renal Replacement Therapy
Zbylut J Twardowski
American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
David W JohnsonDavid L Nicol
Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Sharon J NessimSarbjit V Jassal
The Australian and New Zealand Journal of Surgery
G H Poole, P Tervit
© 2021 Meta ULC. All rights reserved