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A RANDOMIZED TRIAL COMPARING CONVENTIONAL SWAN-NECK STRAIGHT-TIP CATHETERS TO STRAIGHT-TIP CATHETERS WITH AN ARTIFICIAL SUBCUTANEOUS SWAN NECK
Li, Chiu-Leong1; Cui, Tai-Gen1,2; Gan, Hong-Bing1,3; Cheung, Kin1; Lio, Weng-In1; Kuok, Un-I1
关键词Peritoneal catheter artificial swan neck insertion migration exit-site infection
刊名PERITONEAL DIALYSIS INTERNATIONAL
2009-05-01
29期:3页:278-284
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]PERITONEAL-DIALYSIS CATHETERS
英文摘要

Objective: To evaluate the safety and efficacy of inserting a straight-tip Tenckhoff catheter configured with a subcutaneous artificial swan neck.

Design: Clinical outcomes of conventional swan-neck straight-tip catheters and Tenckhoff straight-tip catheters implanted with an artificial subcutaneous swan neck were compared in a prospective randomized controlled trial in a single-center setting.

Patients and Methods: Patients undergoing peritoneal dialysis catheter insertion were randomized to receive either a double-cuff straight-tip Tenckhoff catheter with an artificial subcutaneous swan-neck (TC) or a conventional double-cuff straight-tip swan-neck catheter (SN). The primary outcome was catheter exit-site infection rate; the secondary outcomes were catheter-related mechanical events and surgery-related bleeding.

Results: A total of 39 consecutive patients were enrolled: 20 into the TC group and 19 into the SN group. More exit-site infections were observed in the SN group than in the TC group, although the difference was not statistically significant (0.97 vs 0.51 episodes per patient-year, p = 0.0657). However, there were more peritonitis episodes in the TC group than in the SN group (0.35 vs 0.15 episodes per patient-year, p = 0.0256). Exit-site and main wound bleeding post surgery were generally mild and similar in the 2 groups. No events of dialysate leakage, catheter tip migration, or subcutaneous cuff protrusion were observed in patients of either group. Outflow failure due to mechanical causes occurred in 2 patients in the TC group and in 1 patient in the SN group during the intermittent peritoneal dialysis period; all were corrected successfully by laparoscopic omentectomy.

Conclusions: Placement of the double-cuff straight-tip Tenckhoff catheter configured with an artificial subcutaneous swan neck appears to be an effective and safe procedure. It may be a good alternative to the conventional swan-neck catheter.

语种英语
WOS记录号WOS:000266247800012
引用统计
被引频次:12[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66985
专题北京大学第一临床医学院_肾脏内科
作者单位1.Ctr Hosp Conde Sao Januario, Renal Dept, Macao, Peoples R China
2.Capital Univ Med Sci, Beijing Chaoyang Hosp, Dept Nephrol, Beijing, Peoples R China
3.Peking Univ, Hosp & Inst Nephrol 1, Div Renal, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Li, Chiu-Leong,Cui, Tai-Gen,Gan, Hong-Bing,et al. A RANDOMIZED TRIAL COMPARING CONVENTIONAL SWAN-NECK STRAIGHT-TIP CATHETERS TO STRAIGHT-TIP CATHETERS WITH AN ARTIFICIAL SUBCUTANEOUS SWAN NECK[J]. PERITONEAL DIALYSIS INTERNATIONAL,2009,29(3):278-284.
APA Li, Chiu-Leong,Cui, Tai-Gen,Gan, Hong-Bing,Cheung, Kin,Lio, Weng-In,&Kuok, Un-I.(2009).A RANDOMIZED TRIAL COMPARING CONVENTIONAL SWAN-NECK STRAIGHT-TIP CATHETERS TO STRAIGHT-TIP CATHETERS WITH AN ARTIFICIAL SUBCUTANEOUS SWAN NECK.PERITONEAL DIALYSIS INTERNATIONAL,29(3),278-284.
MLA Li, Chiu-Leong,et al."A RANDOMIZED TRIAL COMPARING CONVENTIONAL SWAN-NECK STRAIGHT-TIP CATHETERS TO STRAIGHT-TIP CATHETERS WITH AN ARTIFICIAL SUBCUTANEOUS SWAN NECK".PERITONEAL DIALYSIS INTERNATIONAL 29.3(2009):278-284.
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