Technique of Peritoneal Catheter Placement under Fluroscopic Guidance

Peritoneal catheters are mainly used for peritoneal dialysis in patients with end-stage renal disease. Other uses of this catheter include intraperitoneal chemotherapy and gene therapy for ovarian cancer and draining of uncontrolled refractory ascites in patients with liver cirrhosis. Traditionally,...

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Main Authors: Ahmed Kamel Abdel-Aal, Santhosh Gaddikeri, Souheil Saddekni
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Radiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2011/141707
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author Ahmed Kamel Abdel-Aal
Santhosh Gaddikeri
Souheil Saddekni
author_facet Ahmed Kamel Abdel-Aal
Santhosh Gaddikeri
Souheil Saddekni
author_sort Ahmed Kamel Abdel-Aal
collection DOAJ
description Peritoneal catheters are mainly used for peritoneal dialysis in patients with end-stage renal disease. Other uses of this catheter include intraperitoneal chemotherapy and gene therapy for ovarian cancer and draining of uncontrolled refractory ascites in patients with liver cirrhosis. Traditionally, surgeons place most of these peritoneal catheters either by laparoscopy or open laparotomy. We detail our percutaneous approach to placing peritoneal catheters using fluoroscopic guidance. We emphasize the use of additional ultrasound guidance, including gray scale and color Doppler ultrasound, to determine the safest puncture site and to guide the initial needle puncture in order to avoid bowel perforation and injury to epigastric artery. We present our experience in placing peritoneal catheters using this technique in 95 patients with various indications. Fluoroscopic guided percutaneous placement of peritoneal catheters is a safe, minimally invasive, and effective alternative to open surgical or laparoscopic placement.
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institution Kabale University
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publishDate 2011-01-01
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series Radiology Research and Practice
spelling doaj-art-61efac186b984d15848977a532bc3ed22025-02-03T06:07:52ZengWileyRadiology Research and Practice2090-19412090-195X2011-01-01201110.1155/2011/141707141707Technique of Peritoneal Catheter Placement under Fluroscopic GuidanceAhmed Kamel Abdel-Aal0Santhosh Gaddikeri1Souheil Saddekni2Department of Radiology, University of Alabama at Birmingham, 619 19th Street, South Birmingham, AL 35249, USADepartment of Radiology, University of Alabama at Birmingham, 619 19th Street, South Birmingham, AL 35249, USADepartment of Radiology, University of Alabama at Birmingham, 619 19th Street, South Birmingham, AL 35249, USAPeritoneal catheters are mainly used for peritoneal dialysis in patients with end-stage renal disease. Other uses of this catheter include intraperitoneal chemotherapy and gene therapy for ovarian cancer and draining of uncontrolled refractory ascites in patients with liver cirrhosis. Traditionally, surgeons place most of these peritoneal catheters either by laparoscopy or open laparotomy. We detail our percutaneous approach to placing peritoneal catheters using fluoroscopic guidance. We emphasize the use of additional ultrasound guidance, including gray scale and color Doppler ultrasound, to determine the safest puncture site and to guide the initial needle puncture in order to avoid bowel perforation and injury to epigastric artery. We present our experience in placing peritoneal catheters using this technique in 95 patients with various indications. Fluoroscopic guided percutaneous placement of peritoneal catheters is a safe, minimally invasive, and effective alternative to open surgical or laparoscopic placement.http://dx.doi.org/10.1155/2011/141707
spellingShingle Ahmed Kamel Abdel-Aal
Santhosh Gaddikeri
Souheil Saddekni
Technique of Peritoneal Catheter Placement under Fluroscopic Guidance
Radiology Research and Practice
title Technique of Peritoneal Catheter Placement under Fluroscopic Guidance
title_full Technique of Peritoneal Catheter Placement under Fluroscopic Guidance
title_fullStr Technique of Peritoneal Catheter Placement under Fluroscopic Guidance
title_full_unstemmed Technique of Peritoneal Catheter Placement under Fluroscopic Guidance
title_short Technique of Peritoneal Catheter Placement under Fluroscopic Guidance
title_sort technique of peritoneal catheter placement under fluroscopic guidance
url http://dx.doi.org/10.1155/2011/141707
work_keys_str_mv AT ahmedkamelabdelaal techniqueofperitonealcatheterplacementunderfluroscopicguidance
AT santhoshgaddikeri techniqueofperitonealcatheterplacementunderfluroscopicguidance
AT souheilsaddekni techniqueofperitonealcatheterplacementunderfluroscopicguidance