Influence of the intra-peritoneal segment of the swan neck peritoneal catheter on infectious and mechanical complications and technique survival

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dc.contributor.authorBanin, Vanessa Burgugi [UNESP]
dc.contributor.authorPonce, Daniela [UNESP]
dc.contributor.authorDias, Dayana Bitencourt [UNESP]
dc.contributor.authorde Oliveira, Rogério Carvalho [UNESP]
dc.contributor.authorMartin, Luis Cuadrado [UNESP]
dc.contributor.authorde Moraes, Thyago Proença [UNESP]
dc.contributor.authorBarretti, Pasqual [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionPontificia Universidade Catolica do Parana - PUC
dc.date.accessioned2018-12-11T17:37:51Z
dc.date.available2018-12-11T17:37:51Z
dc.date.issued2018-01-01
dc.description.abstractBackground: 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.en
dc.description.affiliationSão Paulo State University UNESP, Rubião Junior District
dc.description.affiliationUniversity of Sao Paulo - USP
dc.description.affiliationPontificia Universidade Catolica do Parana - PUC
dc.description.affiliationUnespSão Paulo State University UNESP, Rubião Junior District
dc.identifierhttp://dx.doi.org/10.1007/s10157-018-1618-7
dc.identifier.citationClinical and Experimental Nephrology.
dc.identifier.doi10.1007/s10157-018-1618-7
dc.identifier.file2-s2.0-85050638548.pdf
dc.identifier.issn1437-7799
dc.identifier.issn1342-1751
dc.identifier.lattes5496411983893479
dc.identifier.lattes4923203168446615
dc.identifier.orcid0000-0003-4979-4836
dc.identifier.scopus2-s2.0-85050638548
dc.identifier.urihttp://hdl.handle.net/11449/180061
dc.language.isoeng
dc.relation.ispartofClinical and Experimental Nephrology
dc.relation.ispartofsjr0,711
dc.relation.ispartofsjr0,711
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectCatheter migration
dc.subjectPeritoneal dialysis
dc.subjectPeritonitis
dc.subjectSwan neck
dc.titleInfluence of the intra-peritoneal segment of the swan neck peritoneal catheter on infectious and mechanical complications and technique survivalen
dc.typeArtigo
unesp.author.lattes5496411983893479[7]
unesp.author.lattes4923203168446615
unesp.author.orcid0000-0003-4979-4836[7]

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Artigos - Clínica Médica - FMB