PERITONEAL DIALYSIS IS POSSIBLE AS AN ALTERNATIVE OPTION IN A REGULAR HAEMODIALYSIS PATIENT WITH STRENUOUS VASCULAR ACCESS.

7 Feb 2025 12 a.m. 12 a.m.
WCN25-AB-4603, Poster Board= FRI-546

Introduction:

A clinical method used to support the failing kidney's functioning is peritoneal dialysis. Because of haemodialysis, its use in contemporary clinical practice is gradually decreasing. Haemodialysis cannot be performed without vascular access; without it, the patient's life is at risk and the procedure cannot be performed.

Methods:

Case report

A 69-year-old male with End Stage Kidney Disease patient on regular haemodialysis since 10 years, suffered multiple episodes of thrombosed AV fistula and had multiple angioplasty intervention, haemodialysis lines insertion. Presented to our dialysis unit with malfunction permcatheter with no possible vascular access even for blood extraction. 

Results:

Immediate laparoscopic insertion of a peritoneal dialysis catheter was performed to safe his life and the patient started on acute peritoneal dialysis using the Claria Peritoneal dialysis machines in his hospital room. Incremental automated peritoneal dialysis treatment began daily for 10 hours and patient was discharged after 6 days after normalization of his electrolytes and fluid status. Following the patient's training in our Peritoneal dialysis unit, he is enjoying performing his own daily peritoneal dialysis at home with his Claria PD machine provided by the our peritoneal dialysis unit. Patient home peritoneal dialysis sessions are monitored online utilizing specific personalized software.

Conclusions:

Peritoneal dialysis can be a lifesaving equivalent to haemodialysis in patient with strenuous vascular access.

I have no potential conflict of interest to disclose.

I did not use generative AI and AI-assisted technologies in the writing process.