Successful management of catheter injury or refractory infection by partial replantation of peritoneal dialysis catheters: a retrospective observational study.

ABSTRACT:

Background

The revised 2023 guidelines from the International Society for Peritoneal Dialysis (ISPD) emphasize salvage methods for treating refractory catheter-related infections, or mechanical catheter damage. This approach preserves the existing catheter by manipulating only the outer cuff above the peritoneum, avoiding hemodialysis transfer. We investigated the effectiveness of the partial replantation technique.

Methods

In this retrospective single-center study (January 2021 - December 2023), outcomes for nine patients undergoing salvage methods were compared with 58 patients receiving de novo catheter insertion. We assessed exit-site infection (ESI), tunnel infection (TI), peritonitis, and catheter dysfunction. The salvage method entailed distal cutting of the impaired

SUBMITTER: Ryou S 

PROVIDER: S-EPMC11792682 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature