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Perit Dial Int. 2009 May-Jun;29(3):325-9.

An original non-traumatic maneuver for repositioning migrated peritoneal dialysis catheters.

Author information

1
Division of Nephrology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, P.R. China.

Abstract

OBJECTIVE:

To describe an original non-traumatic maneuver for repositioning a migrated peritoneal dialysis (PD) catheter.

METHODS:

First, tissues wrapping the PD catheter are dissociated, then a correct route is selected according to the position of the catheter, and finally the catheter is repositioned manually in 8 steps: pressing, palpating, vibrating, wave vibrating, rotating, back-pushing and vibrating, swaying, and compressing.

RESULTS:

Of 30 cases of PD catheter migration, repositioning was successful on the first attempt in 9 cases, on the third attempt in 10 cases, on the seventh attempt in 7 cases, and failed in 4 cases. The overall success rate was 86.7%.

CONCLUSION:

Manual repositioning of a migrated PD catheter is safe, painless, economical, and feasible. Repositioning of the migrated dialysis catheter may be attempted before referral for more invasive interventions.

PMID:
19458306
[Indexed for MEDLINE]

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