Evidence map›Paper›PMID 41444552›Full record

ArticleBMC nephrology2025

Percutaneous peritoneal dialysis catheterization with visualization of rectovesical/rectouterine pouch under ultrasound guidance: a retrospective study of 507 patients.

Yan Sun, Cui Wang, Yameng Dong, Yan Gao, Yan Cai, Shujian Zhang, Luyan Bian, Haixia Fu, Huasheng Du, Yue Han and 8 more

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Yan SunDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Cui WangDepartment of Nephrology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yameng DongDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Yan GaoDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Yan CaiDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Shujian ZhangDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Luyan BianDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Haixia FuDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Huasheng DuDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Yue HanDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Jing WangDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Jian HuaDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Xinping FanDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Cuiping MuDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Qingqing YouDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Yitong YangDepartment of Nephrology, Qingdao Municipal Hospital, Qingdao, China.
Zhiyuan LianDepartment of Intensive Care Unit, Qingdao Municipal Hospital, Qingdao, China. yixiangzhiwang2008@126.com.
Leping ShaoDepartment of Nephrology, (Fujian Provincial Clinical Research Center for Glomerular Nephritis), The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China. lepingshao@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe success of urgent-start peritoneal dialysis (USPD) relies on well-functioning catheters and safe, minimally invasive catheterization methods with minimal complications. However, there are currently no large-scale trials demonstrating the significant superiority of any peritoneal dialysis (PD) catheterization technique.

methodsWe conducted a retrospective analysis of 507 patients who underwent “percutaneous peritoneal dialysis catheterization with visualization of rectovesical/rectouterine pouch (RP) under ultrasound guidance (we named ‘PDCVRU method’)” from September 2018 to February 2024. The outcomes of follow-up at 1 month and 1 year were observed.

resultsIn this study, all patients received USPD within 48 h except one with technical failure. Of 506 patients with successful catheterization, 377 patients started low-volume manual fluid-exchange PD, which was gradually titrated to the standard peritoneal fluid volume used in continuous ambulatory peritoneal dialysis (CAPD); these patients comprised the CAPD group. The remaining 129 patients initiated low-volume tidal automated peritoneal dialysis (APD) with progressive titration to standard peritoneal fluid volume and were designated as the APD group. The overall success rate of catheterization was 99.8%, with no significant surgical bleeding, bladder injury, or intestinal perforation. At 1-month follow-up, there were 2 cases (0.4%) of peritonitis, 1 case (0.2%) of tunnel infection, 4 cases (0.8%) of transient leakage, and 11 cases (2.0%) of catheter malfunction. No significant differences were observed in the incidence of complications or catheter survival rate between the APD group and the CAPD group during the first month. At 1-year, data from 465 patients were available for analysis. There were 20 patients (4.3%) with catheter malfunction, 9 cases (1.9%) of exit or tunnel infections, 35 cases (7.5%) of peritonitis. The 1-year catheter-related survival rate was 95.8%.

conclusionsThe ‘PDCVRU method’ applied in this study has been proven to be a safe and effective catheterization technique suitable for independent performance by nephrologists, offering significant advantages for USPD. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

CatheterizationPeritoneal DialysisRectumUltrasonography, InterventionalAdultAgedFemaleHumansKidney Failure, ChronicMaleMiddle AgedRetrospective StudiesUrinary BladderCatheterizationModified seldinger techniqueRectovesical/rectouterine pouch visualizationUltrasound guidanceUrgent-start peritoneal dialysis

Identifiers

PMID41444552
PMCPMC12849331

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.