RT Book, Section
A1 Ash, Stephen R.
A2 Lerma, Edgar V.
A2 Berns, Jeffrey S.
A2 Nissenson, Allen R.
SR Print(0)
ID 6342005
T1 Chapter 58. Interventional Nephrology: Peritoneal Dialysis Catheter Procedures
T2 CURRENT Diagnosis & Treatment: Nephrology & Hypertension
YR 2009
FD 2009
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-144787-4
LK accessmedicine.mhmedical.com/content.aspx?aid=6342005
RD 2024/04/16
AB In  addition  to  being  a  continuous  daily  home  therapy,  peritoneal  dialysis  (PD)  offers  a  number  of  advantages  for  end-stage  renal  disease  (ESRD)  patients.  Nevertheless,  PD  remains  an  underutilized  form  of  renal  replacement  therapy.  Recent  data  demonstrate  that  over  50%  of  ESRD  patients  in  the  United  States  prefer  and  request  PD  as  the  modality  of  choice  for  renal  replacement  therapy.  However,  only  12%  of  ESRD  patients  are  initiated  on  this  form  of  therapy.  A  variety  of  factors  including  timely  insertion  of  PD  access  are  likely  responsible  for  the  dramatic  underutilization  of  PD.  Recent  attention  has  focused  on  increasing  the  use  of  this  important  modality  of  renal  replacement  therapy.  To  this  end,  interventional  nephrologists  have  taken  the  initiative  in  performing  PD  access-related  procedures,  including  catheter  insertion,  catheter  removal,  and  repositioning  of  a  migrated  catheter.  The  safety  and  success  of  PD  access-related  procedures  by  nephrologists  have  been  well  documented.