A novel technique of catheter placement with fibrin glue to prevent pericatheter leakage and to enable no break-in period in peritoneal dialysis

Abstract

Pericatheter leakage is a catheter-related complication of peritoneal dialysis (PD). To prevent pericatheter leakage, a modified technique of PD catheter insertion with fibrin glue was performed in 19 children. At the time of PD catheter insertion, as much fibrin glue as possible was injected into the subcutaneous tissue along the tunneled segment of the catheter and then the skin was compressed. There was no occurrence of pericatheter leakage and full PD could be initiated 1 day (median) after implantation. This technique prevented pericatheter leakage completely even in smaller-weight infants and will enable initiation of full PD with no break-in period.