For Release: May 7, 2014
Patients undergoing peritoneal dialysis catheter placement via fluoroscopy and ultrasound-guidance experienced significantly fewer complications at 1 year post-insertion than did patients whose catheters were placed laparoscopically.
The first of two study groups received catheters using fluoroscopy and ultrasound guidance under conscious sedation by interventional radiologists. In the second group, the catheters were inserted using laparoscopy under general anesthesia by surgeons.
“Our results showed that the overall complications at 1 year were significantly higher for the laparoscopic group and that the laparoscopic approach is more likely to be complicated by catheter malfunction and peritonitis,” said Ahmed Kamel Abdel Aal, chief of the division of Interventional Radiology at the University of Alabama at Birmingham.
The image-guided insertion technique may allow for expeditious catheter placement in late-referred patients with end-stage renal disease, thus facilitating urgent-start peritoneal dialysis and avoiding the need for temporary vascular-access catheters.
Dr. Kamel Abdel Aal and his coauthors will present the study on May 7 at the ARRS Annual Meeting in San Diego, CA.
Founded in 1900, ARRS is the first and oldest radiology society in the United States. The society was originally named the American Roentgen Society after its founder, Wilhelm Roentgen, who discovered the x-ray. ARRS has been an international forum for progress in radiology and is dedicated to the goal of the advancement of medicine through the science of radiology and its allied sciences. The goal of the ARRS is maintained through an annual scientific and educational meeting and publication of the American Journal of Roentgenology or AJR. ARRS is located in Leesburg, VA.