Peritoneal Dialysis Catheter Placement: Percutaneous and Peritoneoscopic Techniques

Academic Article


  • Chronic peritoneal dialysis (PD) is an underutilized renal replacement therapy in treating end-stage renal disease that has several advantages over hemodialysis. The success of continuous ambulatory PD is largely dependent on a functional long-term access to the peritoneal cavity. Several methods have been developed to place the PD catheter using both surgical and percutaneous techniques. The purpose of this article is to describe the percutaneous techniques using fluoroscopy guidance and peritoneoscope method. While fluoroscopic method uses fluoroscopy guidance and a guidewire to place the PD catheter, the peritoneoscopic technique utilizes a needlescope to directly visualize the peritoneal space to avoid adhesions and omentum during catheter placement. These percutaneous approaches are minimally invasive procedures that can be performed on an outpatient basis without the need for general anesthesia.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Khudari HE; Abdel-Aal AK; Abaza M; Almehmi SE; Sachdeva B; Almehmi A
  • Start Page

  • 023
  • End Page

  • 031
  • Volume

  • 39
  • Issue

  • 1