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E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
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Abstract titles should be brief and reflect the content of the abstract.
In previous reports, it was described that peritoneal dialysis (PD) is discontinued for various reasons. Although catheter removal is generally performed upon discontinuation, re-embedding catheter is not common method of treatment for discontinuing PD. We report the case of re-embedding catheter technique for re-starting of PD in the future.
A 59-year-old man with end-stage renal failure due to diabetic nephropathy have initiated PD in year X-4. Subsequently, his urine output decreased and he was unable to control his fluid intake. In March of year X-1, he started combined therapy with PD and hemodialysis (HD) (combPDHD). In arterio-venous fistula (AVF) surgery, severe calcification of the radial artery was observed. Thus, the creating AVF was very difficult. After the initiation of combPDHD, the patient's condition remained stable. Seven months later, he was diagnosed with severe aortic valve stenosis, leading to coronary artery bypass grafting and aortic valve replacement in October of year X-1. Because of the high risk of postoperative pericardial effusion, PD had to be discontinued for at least 6 months. However, due to severe arterial calcification, there is a possibility that PD might need to be re-started in the future if HD access failure occurs. Therefore, re-embedding catheter technique at the temporary discontinuation of PD was performed. This patient has been free of postoperative catheter infection for 9 months. Because of well volume control and no pericardial effusion, we decided to re-start PD. Since catheter obstruction was noted, repeated passage of a guidewire was performed, which enabled discharge of fibrin clots and allowed smooth inflow and outflow. In the surgery, a titanium adapter was used, but a connection adapter was not employed. PD was re-started postoperatively and has been continued without complications.
We report a case study of re-embedding catheter technique at the temporary discontinuation and re-starting of PD. Considering the reduced risk of infection and costs, we performed the procedure without using a titanium adapter as previously reported. The advantages of this re-embedding catheter technique are reduced infection and cost.
In the present case, PD was successfully re-starting 10 months after catheter embedding. It was indicated that re-embedding catheter technique without removal is an alternative option for renal replacement therapy.
