Percutaneous insertion of XXXX catheters using ultrasound and fluoroscopic guidance: A single centre experience and review of literature.

@entity1 @entity548 @entity28 @entity409 @entity177 @entity298
UNASSIGNED: Various methods of @entity298 ( @entity298 ) catheter insertion are available. The purpose of this study was to evaluate a percutaneous insertion technique using ultrasound (US) and fluoroscopy performed under conscious sedation and as day case procedure. Data of 87 percutaneous inserted dialysis catheters were prospectively collected, including @entity1 ' age, gender, body mass index, history of previous abdominal surgery and cause of end @entity177 . Length of hospital stay, early complications and time to first use were also recorded. Institutional review board approval was obtained. A 100% technical success rate was observed. Early complications included @entity548 (n   =   3), @entity409 (n   =   6), exit site infection (n   =   1) and exit site leakage (n   =   1). All cases of @entity409 and one case of @entity548 required surgical revision. Median time of follow-up was 18 months (range 3-35), and median time from insertion to first use was days 14 (1-47). Of the 82 @entity1 who started dialysis, 20 (23%) ceased @entity298 at some stage during follow-up. Most frequently encountered reasons include deteriorating @entity1 cognitive or functional status (n   =   5), successful transplant kidney (n   =   4) and @entity298 (n   =   4). Sixty-two (71%) @entity298 catheter insertions were performed as day case. The remaining insertions were performed on @entity1 already admitted to the hospital. Percutaneous insertion of dialysis catheter using US and fluoroscopy is not only safe but can be performed as day case procedure in most @entity1 , even with a medical history of abdominal surgery and/or @entity28 .
