Abdel-Aal Ahmed Kamel, AlRasheed Reema F, Shahin Mohamed, Aziz Shahroz, Bassuner Juri, El-Khudari Husameddin
Department of Diagnostic and Interventional Imaging, University of Texas Health Science Center at Houston, Houston, TX, USA.
Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Cardiovasc Intervent Radiol. 2025 Jan;48(1):6-15. doi: 10.1007/s00270-024-03873-z. Epub 2024 Oct 7.
Patients with end-stage renal disease undergoing hemodialysis encounter significant challenges in care coordination and experience higher complication rates. Peritoneal dialysis (PD) is an evidence-based alternative that significantly improves patients' quality of life.Peritoneal dialysis catheter insertion methods include open surgical, laparoscopic, peritoneoscopic, and percutaneous image-guided approaches. Despite comparable success rates and cost-effectiveness, the US healthcare system underutilizes the percutaneous method.This article aims to provide an overview of the essential components of the technique of percutaneous peritoneal dialysis catheter insertion, as well as address patient selection nuances and considerations for urgent-start dialysis. Additionally, it reviews the outcomes and complications associated with image-guided percutaneous PD catheter placement, advocating for its wider adoption.
接受血液透析的终末期肾病患者在护理协调方面面临重大挑战,且并发症发生率更高。腹膜透析(PD)是一种循证替代方案,可显著提高患者的生活质量。腹膜透析导管插入方法包括开放手术、腹腔镜、腹膜镜和经皮图像引导方法。尽管成功率和成本效益相当,但美国医疗系统对经皮方法的利用不足。本文旨在概述经皮腹膜透析导管插入技术的基本组成部分,以及探讨患者选择的细微差别和紧急开始透析的注意事项。此外,本文还回顾了图像引导下经皮腹膜透析导管置入的结果和并发症,主张更广泛地采用该方法。