Complications of Continuous Ambulatory Peritoneal Dialysis (CADP) catheter placement in pediatric patients
الباحث الأول:
Hayder Nadhim Obaid Algabri
الباحثين الآخرين:
Haidar Mohammad Muhssein,Zinah Khudair Abbas
المجلة:
International Journal of Interdisciplinary Research and Innovations
تاريخ النشر:
27 يونيو، 2025
مختصر البحث:
Abstract: CAPD is a peritoneal dialysis (PD) technique introduced in 1978 as a renal replacement therapy more often
in children, whenever high-level centers are available. It represents a typical treatment for end-stage kidney disease
and can be i…
Abstract: CAPD is a peritoneal dialysis (PD) technique introduced in 1978 as a renal replacement therapy more often
in children, whenever high-level centers are available. It represents a typical treatment for end-stage kidney disease
and can be inserted as a bedside procedure (Cook Medical, Bloomington) or operatively under general anesthesia
(Tenckhoff catheter). Complications associated with catheter placement are well-known and have been extensively
studied. Multiple factors influence catheter survival and functions, including the shape of the subcutaneous segment,
the number of cuffs, and the design of the intraperitoneal part. Comprehensive research was conducted to study the
outcomes of the straight and coiled-tip catheters. A pooled dataset produced by a systematic review and metaanalysis of 13 randomized controlled trials examined catheter survival, blockage, migration, leakage, exit site
infection, hernia, intestinal obstruction, peritonitis, and catheter removal, favoring a surgically inserted, straight-tip
catheter [2]. In our study, we included 74 cases of children under 18 with end-stage renal disease (ESRD) from
different hospitals in the Najaf Directorate of Health (NDoH) between July 2022 and July 2025. Both designs have
been used according to the age of patients (straight-tip double cuff catheter used in infants, while the coiled-tip
CAPD catheter was inserted in older age group patients). 72 (98%) had a CAPD coil-tip catheter inserted
operatively. This study aims to investigate the complications associated with CAPD catheters in our center and to
examine the factors contributing to failure, survival, and removal. We concluded that peritonitis is the commonly
reported complication over the follow-up period, followed by CAPD obstruction and exit site infection.
