{Reference Type}: Multicenter Study
{Title}: A nephrologist dream of peritoneal dialysis catheter with zero migration: A multicenter prospective study.
{Author}: Al-Hwiesh AK;Abdul-Rahman IS;Divino-Filho JC;Nasreldin MA;Al-Hwiesh AA;Al-Audah N;Althubaini HH;Abdulgalil M;Salah GA;Al-Baggal MZ;Abu-Oun BA;Al-Audah N;Al-Ramadan HS;Alfalah K;Almarri Z;Al-Awal AA;
{Journal}: Ther Apher Dial
{Volume}: 28
{Issue}: 1
{Year}: 2024 Feb 16
{Factor}: 2.195
{DOI}: 10.1111/1744-9987.14045
{Abstract}: <B>BACKGROUND: </B>PD catheter tip migration is a common complication and a significant cause of catheter malfunction. In this perspective, we present our experience with a new catheter and a new technique that involves the use of a new triple cuff PD catheter and a low entry site in an attempt to prevent PD catheter migration.<BR><B>METHODS: </B>A total of 503 incident PD patients have been studied in more than one PD center over a period of 5 years.<BR><B>RESULTS: </B>During the 5-year follow up we recorded zero percent catheter migration. Other technical complications were poor drainage in 3.4%, omental wrap in 2.8%, early leakage in 3.4%, and catheter replacement in 2.4%. By the end of the study, the one-year PD catheter survival was 97.6%.<BR><B>CONCLUSIONS: </B>Our new triple cuff PD catheter and our low-entry approach seem to be effective in preventing PD catheter migration and minimizing other mechanical complications.