Schedule an initial consultation at one of these locations:

Utah Vascular Clinic

801.281.0027

650 East 4500 South, Suite 100
Salt Lake City, UT 84107

Ogden Regional Medical Center

801.479.2450

5475 South 500 East
Washington Terrace, UT 84405

Services

Interventional Procedures

Peritoneal Dialysis

What is peritoneal dialysis (PD)?

Dialysis is a life saving treatment for kidney failure. The most common way to perform dialysis is by running the blood through an artificial kidney machine, a technique called hemodialysis. The other method, called peritoneal dialysis, does not require processing of the blood outside of the body.

How is peritoneal dialysis performed?

During peritoneal dialysis, a sterile fluid called dialysate is placed into the membrane-lined space in the abdomen known as the peritoneal cavity using a tube called a PD catheter. The dialysate draws built up toxins and excess fluid out of the body. The dirty dialysate is then drained off and discarded. The process is repeated multiple times every 24 hours.

Because peritoneal dialysis is a home-based therapy, many PD patients say they are more productive and enjoy a better lifestyle than patients on hemodialysis. And since PD is a daily treatment, there are fewer "ups and downs" in blood pressure and electrolytes than hemodialysis, which is instead performed at a dialysis center three days per week.

What is fluoroscopic peritoneal dialysis catheter placement?

A peritoneal dialysis catheter is a soft, flexible, hollow tube that is inserted through the abdominal wall into the peritoneal cavity. The catheter can be implanted surgically, but can also be placed less invasively by an interventional radiologist (IR), using a technique called fluoroscopic guided peritoneal dialysis catheter placement1. During fluoroscopic placement, the IR uses ultrasound
and x-ray guidance to feed the catheter into the peritoneal space. Because it is less invasive, the catheter is placed using sedation medication and local anesthetic instead of general anesthesia, with fewer reported complications
than surgery 2-4.

What are the problems with peritoneal dialysis?

No method of providing dialysis is completely safe or effective for all patients. A complication specific to PD is infection of the peritoneal cavity, a condition called "peritonitis", that must be treated with antibiotics if it occurs. Up to 10 percent of PD catheters will eventually develop malfunction due to obstruction or migration of the catheter out of the pelvis, requiring replacement.

References:

  1. Abdel-Aal AK, Dybbro P, Hathaway P, et al. Best practices consensus protocol for peritoneal dialysis catheter placement by interventional radiologists. Perit Dial Int. 2014;34:481-493.
  2. Rosenthal MA, Yang PS, Liu IA, et al. Comparison of outcomes of peritoneal dialysis catheters placed by the fluoroscopically guided percutaneous method versus directly visualized surgical method. J Vasc Interv Radiol. 2008;19:1202-1207.
  3. Voss D, Hawkins S, Poole G, et al. Radiological versus surgical implantation of first catheter for peritoneal dialysis: a randomized non-inferiority trial. Nephrol Dial Transplant. 2012;27:4196-4204. [PubMed]
  4. Maher E, Wolley MJ, Abbas SA, et al. Fluoroscopic versus laparoscopic implantation of peritoneal dialysis catheters: a retrospective cohort study. J Vasc Interv Radiol. 2014;25:895-903.

Refer to these websites for more information:

Image used with permission from: Abdel-Aal AK, Dybbro P, Hathaway P, et al. Best practices consensus protocol for peritoneal dialysis catheter placement by interventional radiologists. Perit Dial Int. 2014;34:481-493.





CANCER ►►

We offer the most current innovations to treat cancerous tumors while minimizing possible injury to other body organs.

FIBROIDS ►►

We can provide a second opinion prior to a hysterectomy. Uterine Fibroid Embolization (UFE) may be an option for you.

VARICOSE & SPIDER VEINS ►►

We can relieve symptoms, prevent complications and improve the appearance of your legs.

VARICOCELE EMBOLIZATION ►►

Do you have symptoms of pain, fertility problems, or testicular atrophy? We offer a highly effective, pain free treatment.

Do you know the signs & symptoms?

Deep Vein Thrombosis

Deep Vein Thrombosis (DVT) occurs when a blood clot forms in one of the deep veins of your body, usually in your legs, but sometimes in your arm.

  • Swelling, usually in one leg
    (or arm)
  • Leg pain or tenderness often described as a cramp or
    Charley horse
  • Reddish or bluish skin discoloration
  • Leg (or arm) warm to touch

Pulmonary Embolism

Clots can break off from a DVT and travel to the lung, causing a pulmonary embolism (PE), which can be fatal.

  • Sudden shortness of breath
  • Chest pain-sharp, stabbing; may get worse with deep breath
  • Rapid heart rate
  • Unexplained cough, sometimes with bloody mucus