Back
For best output, select "Paper Size" as "A4" and "Margin" as "0" or "None".
To save or print to PDF, please select Print Destination > Save as PDF, enable Background Graphics under "More Settings", then click "Save".
During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
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.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Timely access to peritoneal dialysis (PD) catheter insertion remains a barrier to the wider adoption of home dialysis therapies. Traditionally dependent on surgical teams, access has often been limited by operating theatre availability and long waiting times. In January 2021, Sunderland Diagnostic and Interventional Nephrology Unit established a physician-led service for medical percutaneous PD catheter insertion. In March 2024, this service expanded to support hospitals across the North East of England icluding James cook university hospital and and a dedicated North East MedicalPercutaneous Peritoneal Dialysis catheter insertion services werewas launhed. This innovative service addresses a critical need for timely and efficient PD access in the region, providing catheter insertions as a streamlined day-case procedure. The initiative aims to improve patient outcomes, reduce hospital admissions, and enhance the overall experience for individuals opting for peritoneal dialysis.
The service is led by a multidisciplinary team including nephrologists, interventional radiologists, specialist nurses, and surgical support, ensuring high-quality care and continuity throughout the patient’s journey. Patients are carefully selected and assessed in pre-procedure clinics, and post-procedure follow-up is coordinated with the renal and community PD teams to support early initiation and training.
The day-case model reduces inpatient burden and aligns with NHS goals of extending services in ambulatory settings. Feedback from patients has been positive, with appreciation isfor the minimal disruption to daily life and prompt access to treatment. Preliminary data analysis indicates excellent procedural outcomes with no major complications reported to date.
This service reflects a forward-thinking approach to renal care in the North-East, with potential for expansion and replication across other trusts. Further evaluation is ongoing to assess long-term outcomes and patient satisfaction, supporting continuous improvement and service development
A dedicated interventional nephrology pathway was developed, using image-guided, minimally invasive insertion techniques under local anaesthesia and sedation if required. Trained nephrologists were the primary operators with multidisciplinary support from specialist nurses. Data collected included number of catheters inserted and removedwith percutaneous or surgical techniques,catheter exposure,removal,failed attempts and manipulation. March 2024 onwards, formal regional referral pathways were established, enabling hospitals across the North East to access the service. Training opportunities were embedded into the service including ISN fellowship programes and a PG certificate in interventional nephrology to expand workforce expertise.
Between July 2021 and June 2025, a total of 286 procedureswere performed. Of these, 130 were percutaneousinsertions, compared with only 10 surgical insertions, highlighting the shift towards a nephrologist-led service. Additional procedures included 58 removals, 36 surgical exchanges, 19 percutaneous exchanges, 22 medical exposures, and 7 manipulations. There were 10 failed attempts across the study period. Percutaneous insertion demonstrated a high technical success rate, and complications were minimal, consistent with international benchmarks. Percutaneous insertions have been associated with shorter waiting times, timely initiation of peritoneal dialysis (PD), and support for patient choice for home dialysis compared to surgical insertions. Following regional service expansion in March 2024, referrals were received from multiple hospitals across the North-East, demonstrating the feasibility of a scalable interventional nephrology service.
The establishment of a medical PD catheter insertion service at Sunderland has provided safe, efficient, and patient-centred access to peritoneal dialysis since 2021. Its regional expansion in 2024 has improved equity of access, reduced waiting times, and supported national goals to increase home dialysis uptake. This model demonstrates the feasibility and scalability of embedding catheter insertion within nephrology services, complementing surgical pathways and optimising healthcare resources.
