Peritoneal dialysis catheter intraluminal fibrin cast: A complication after prolonged placement. Case series with a review of literature and the management of this complication

J Vasc Access. 2020 Nov;21(6):1029-1033. doi: 10.1177/1129729820917855. Epub 2020 May 4.

Abstract

Peritoneal dialysis is a renal substitutive therapy used in an increasing number of patients with end-stage renal failure as it allows greater freedom to perform daily activities. Peritoneal dialysis catheter obstruction is a significant non-infectious complication of peritoneal dialysis. We describe three cases of peritoneal dialysis catheter obstruction with complete fibrin casts, its surgical management and a review of the literature in management techniques and have proposed an algorithm to guide clinical practise when a complete intraluminal peritoneal dialysis catheter obstruction is suspected.

Keywords: Peritoneal access dialysis access; catheters dialysis access; complication; interventional radiology; obstruction.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Catheter Obstruction / etiology*
  • Catheters, Indwelling / adverse effects*
  • Fibrin / metabolism*
  • Humans
  • Kidney Failure, Chronic / therapy*
  • Male
  • Middle Aged
  • Peritoneal Dialysis / adverse effects*
  • Peritoneal Dialysis / instrumentation*
  • Therapeutic Irrigation*
  • Treatment Outcome
  • Vascular Surgical Procedures*

Substances

  • Fibrin