学科主题 | 临床医学 |
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
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2009-05-01 | |
卷 | 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 |
Citation statistics | |
文献类型 | 期刊论文 |
条目标识符 | http://ir.bjmu.edu.cn/handle/400002259/66985 |
Collection | 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 |
Recommended Citation 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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