Case management of catheter breaks during peritoneal dialysis indicates that timely interventions can prevent complications.
PD catheter breaks are rare and can occur spontaneously or traumatically. Breaks may cause peritonitis due to wet contamination. We describe the management of three unique cases of catheter breaks without interruption of treatment. We salvaged two PD catheters with breaks that were proximal to the exit site with minimally invasive procedures. Even though one patient required removal of the catheter, a new catheter was exchanged over a guidewire and used immediately. PD therapy was continued without any complications. Out of the box thinking and repair of PD catheter breaks prevents removal and extends its life.
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