The authors evaluated Repl-A-Cath -a replaceable peritoneal catheter, over a three-year period. This device consists of a silicone “percutaneous tunnel”, through which a catheter is inserted into the peritoneal cavity. The catheter, which is hermetically sealed to the silastic tunnel, can be removed and replaced non-surgically if necessary. Because of its system of hermetical sealing, it has the same degree of bacteriological safety as other models in use. Among 31 ReplA-Cath's implanted in 27 patients (21 on CAPD, six on IPD), the incidence of complications was very low. The greatest advantage of this catheter is that it can be replaced in case of obstruction and poor dialysate drainage can be corrected without trauma.
OreopoulosD.G., KhannaR.Complications of peritoneal dialysis other than peritonitis. In: NolphK.D. ed. Peritoneal dialysis.Boston: Martinus Nijhoff1981; pg. 309.
3.
WardR.A., KleinE., WathenR.L.Investigation of the risks and hazards with devices associated with peritoneal dialysis and sorbent regenerated dialysate delivery systems.Perit Dial Bull1983; 3: Supplement #2
4.
OreopoulosD.G., IzattS., ZellermanG.A prospective study of the effectiveness of three permanent peritoneal catheters.Proc Clin Dial Transplant Forum1976; 96:
5.
ValkT.W., SwartzR.D., HsuC.H.Peritoneal dialysis in acute renal failure: Analysis of outcome and complications.Dial Transplant1980; 9: 48.
6.
RubinJ., AdairC.M., RajuS.The Tenckhoff cataheter for peritoneal dialysis: An appraisal.Nephron1982; 32: 370.
7.
DevineH., OreopoulosD.G., IzattS.The permanent Tenckhoff catheter for chronic peritoneal dialysis.Can Med Assoc J1975; 113: 219.
VidtD.G.Home peritoneal dialysis. Alternative to chronic hemodialysis.Cleveland Clinic1975; 42: 237.
10.
GiovannettiS., CioniL., MaggioreQ.A clot -screw for the winged in-line shunt. Proc 4th Congr EDTA, Paris, July 1967. Reprinted from Excerpta Medica Int Congr Series 155, pg 363.
11.
CavagnaR.Cateter peritoneal reemplazable. Personal communication. Seminario Extraordinario sobre Dialisis Peritoneal. Societaid Sur de Nefrologia. Seccion de Nefrologia, Malaga (Spain), Dec. 1980.
