Leesburg, VA, 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 presented 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 and is an international forum for progress in radiology. The Society's mission is to improve health through a community committed to advancing knowledge and skills in radiology. ARRS achieves its mission through an annual scientific and educational meeting, publication of the American Journal of Roentgenology (AJR) and InPractice magazine, topical symposia and webinars, and print and online educational materials. ARRS is located in Leesburg, VA.