Implantation of presternal catheter using Moncrief technique: aiming for fewer XXXX .

@entity1 @entity1212 @entity532 @entity702 @entity298
OBJECTIVES: To reduce @entity532 , we developed a new technique of catheter implantation, combining a presternal catheter with the Moncrief technique. METHODS: The presternal catheter, consisting of 2 catheters joined by a @entity702 extender, was surgically implanted. Its end was left embedded in the presternal wall. A few weeks after implantation, the embedded subcutaneous catheter was exteriorized, exiting in the 4th intercostal space, and @entity298 ( @entity298 ) was commenced. RESULTS: Using the new technique, 9 catheters were implanted (3 in @entity1 and 6 in @entity1 ). Exteriorization was performed 30.6 +/- 14.3 days after implantation of the catheter. Total observation period was 70 @entity1 -months. Average hospitalization was 4.4 +/- 1.3 days for catheter implantation, and 2.6 +/- 2.6 days for exteriorization. Peritoneal dialysis commenced on the day of exteriorization with an exchange volume of 1.8 +/- 0.3 L, using 4 exchanges daily. During the observation period, none of the @entity1 experienced a @entity1212 or dialysate leak. One non infectious complication was observed (a catheter wrapped in omentum). CONCLUSIONS: Our approach of combining a presternal catheter and the Moncrief technique had some advantages not only in regard to @entity1212 and dialysate leakage, but also in regard to quality of life and hospitalization for the @entity1 .
