The self-locating catheter: Clinical experience and follow-up

Nicola Di Paolo, Luigi Capotondo, Enrico Sansoni, Valerio Romolini, Matteo Simola, Enzo Gaggiotti, Roberto Bercia, Umberto Buoncristiani, Paola Cantù, Massimo Concetti, Amedeo De Vecchi, Pasquale Fatuzzo, Michele Giannattasio, Roberto La Rosa, Teodoro Lopez, Giuseppe Lo Piccolo, Marcello Melandri, Giuseppe Vezzoli, Ersilia Orazi, Alfonso PacittiAdriano Ramello, Franco Russo, Marcello Napoli, Maria Cristina Tessarin

Research output: Contribution to journalArticlepeer-review

Abstract

◆ Background: The self-locating catheter invented by Nicola Di Paolo has been used increasingly in Italy and elsewhere since 1994, with about a thousand patients currently implanted every year. Twelve grams of tungsten inserted into the tip of the conventional Tenckhoff catheter during extrusion does not significantly change its form, but suffices to keep the tip firmly in the Douglas cavity. ◆ Objective: The aim of the present study was to confirm our preliminary results in a large population of peritoneal dialysis patients. ◆ Setting: 16 Italian nephrology departments. ◆ Results: In addition to confirming the validity of the new catheter, the present results show that patients with the new catheter have fewer episodes of peritonitis, tunnel infection, cuff extrusion, catheter malfunction, obstruction, and leakage. ◆ Conclusion: The present multicenter control study confirms preliminary results and demonstrates that complications of peritoneal dialysis, such as cuff extrusion, infection, peritonitis, early leakage, and obstruction, are statistically less frequent in patients with self-locating catheters than in patients with classic Tenckhoff catheters.

Original languageEnglish
Pages (from-to)359-364
Number of pages6
JournalPeritoneal Dialysis International
Volume24
Issue number4
Publication statusPublished - Jul 2004

Keywords

  • Catheter dislocation
  • Peritonitis
  • Self-locating catheter
  • Tenckhoff catheter

ASJC Scopus subject areas

  • Nephrology

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