Persistent peritoneal dialysis catheter exit-site leak in a patient receiving maintenance immunosuppression with sirolimus

Clinical Transplantation
Jeffrey PerlJoanne M Bargman

Abstract

Patients returning to peritoneal dialysis after renal allograft loss are an increasing segment of the end-stage renal disease population. Non-transplant nephrologists will be managing the short- and long-term complications of chronic immunosuppression in these patients. In this case report, the use of sirolimus is described in a patient who developed a significant peritoneal dialysis catheter exit-site leak delaying the initiation of dialysis. The risk of impaired wound healing at the time of peritoneal dialysis catheter implantation must be considered when bridging patients from transplantation to peritoneal dialysis. Particular caution should be paid to the use of sirolimus during this period.

References

Jun 28, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Sarbjit V JassalJoanne M Bargman
Jan 26, 2006·Journal of the American Society of Nephrology : JASN·Josep M CampistolJohn F Neylan

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Citations

Jun 28, 2011·Scandinavian Journal of Urology and Nephrology·Bernardo Faria, Anabela Rodrigues
Jan 9, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Jeffrey PerlSarbjit V Jassal
Apr 29, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Susan Yung, Tak Mao Chan
Sep 7, 2016·Seminars in Dialysis·Andrzej RatajczakAdam Studniarek

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