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Influence of the intra-peritoneal segment of the swan neck peritoneal catheter on infectious and mechanical complications and technique survival.
Banin, Vanessa Burgugi; Ponce, Daniela; Dias, Dayana Bitencourt; de Oliveira, Rogério Carvalho; Martin, Luis Cuadrado; de Moraes, Thyago Proença; Barretti, Pasqual.
Afiliação
  • Banin VB; São Paulo State University, UNESP, Rubião Junior District, Botucatu, São Paulo, Brazil. dponce@fmb.unesp.br.
  • Ponce D; São Paulo State University, UNESP, Rubião Junior District, Botucatu, São Paulo, Brazil.
  • Dias DB; University of Sao Paulo - USP, Bauru, Brazil.
  • de Oliveira RC; São Paulo State University, UNESP, Rubião Junior District, Botucatu, São Paulo, Brazil.
  • Martin LC; São Paulo State University, UNESP, Rubião Junior District, Botucatu, São Paulo, Brazil.
  • de Moraes TP; São Paulo State University, UNESP, Rubião Junior District, Botucatu, São Paulo, Brazil.
  • Barretti P; São Paulo State University, UNESP, Rubião Junior District, Botucatu, São Paulo, Brazil.
Clin Exp Nephrol ; 23(1): 135-141, 2019 Jan.
Article em En | MEDLINE | ID: mdl-30043086
BACKGROUND: There is no consensus about the preferable type of catheter for successful peritoneal dialysis. Intra- and extra-peritoneal catheter configuration may be associated with mechanical and infectious complications affecting technique survival. The objective of this study was to compare the mechanical and infectious complications of coiled versus straight swan neck (SN) peritoneal dialysis catheters. METHODS: A prospective randomized trial was performed to compare mechanical (tip migration with dysfunction) and infectious (peritonitis and exit site infection) complications between catheters randomly divided into two groups: swan neck straight tip and swan neck coiled tip. The follow-up was 1 year. RESULTS: A total of 49 catheters, in 46 patients, were included from April 2015 to February 2016. The catheters groups were constituted as: 25 coiled tip SN and 24 straight tip SN. The baseline demographics were similar among the groups. Kaplan-Meier survival estimates were not different for time to first exit site infection, peritonitis and time to first catheter tip migration (log-rank test, p = 0.07, p = 0.54 and p = 0.83, respectively). Catheter survival and method survival were also similar (log-rank p = 0.88 and p = 0.91, respectively). CONCLUSIONS: The two types of intra-peritoneal segments of SN catheters studied presented similar infectious and mechanical rates with no differences in catheter and technique survival curve. These results were consistent with the recommendations of the International Society for Peritoneal Dialysis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateteres de Demora / Diálise Peritoneal / Infecções Relacionadas a Cateter Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Exp Nephrol Assunto da revista: NEFROLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Japão
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateteres de Demora / Diálise Peritoneal / Infecções Relacionadas a Cateter Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Exp Nephrol Assunto da revista: NEFROLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Japão