1Abdulaziz AlSharydah,1Shaima Abu alqasim, 1Shaima Abu alqasim, 1Mohammad Arabi
1Interventional Radiology section, Medical Imaging Department, NGHA
To assess the safety and long-term outcomes of percutaneous PD catheter insertion by interventional radiologists.
Material(s) and Method(s):
This retrospective study conducted between April 2015 till February 2021. A total of 131 patients (75 males) were enrolled in this study. The mean age was 50 ± 19.6-years with average BMI of 28 ± 7 kg/m2. The average dwelling time was 497.5± 462.3 days. Technical and clinical success were evaluated. Catheter related complications were classified into mechanical and non-mechanical categories including infectious complications. Indications for removal were analyzed.
Technical and clinical success were 100%. Forty-six patients were on PD at the last follow up with average dwelling time of 492 days. PD related complications were reported in 79/131 [60.3%] patients, including Peritonitis [40.46%; 53/131], followed by Malposition/Migration [12.21%; 16/131], Tunnel/exit site infection [10.69%; 14/131], and dysfunction [12.21%; 16/131]. The incidence of peritonitis within 30 days post-insertion was 9.43%. The average interval between insertion to migration is 100.5± 144.8 days (95% confidence interval [CI], 6.9 to 14.4). There was a trend for higher rate of malposition/migration in patients with higher BMI (P = 0.0561). Causes for PD catheters removal were: 1) Infection related [24.4%; 32/131]; 2) Renal transplant [16%; 21/131] [19%; 25/131]; 3) Mechanical complications [13.7%; 18/131]; 4) Patient’s preference [7.6%; 10/131]
Clot buPercutaneous PD catheter placement by interventional radiologists pPercutaneous PD catheter placement by interventional radiologists provides acceptable long-term outcomes and complication rates that meet the recommended standards.