A Tenckhoff catheter is a translucent silicone rubber tube with multiple drainage holes, a radiopaque stripe down its length, and a Dacron cuff. The catheter is implanted in the pleural space, tunneled through the subcutaneous tissue, and brought out through a skin exit wound.
What is Tenckhoff catheter for?
June 2021. A Tenckhoff catheter is a long, narrow tube inserted into the peritoneal cavity. The peritoneal cavity is the space in the body that contains the stomach, bowel, liver, bladder etc – see diagram1, 2. This catheter is commonly used for peritoneal dialysis.
Where is Tenckhoff catheter placed?
With the patient in the supine position, the placement site, which coincides with the deep cuff location, was established by aligning the upper border of the catheter with the upper border of the pubic symphysis and by marking the upper border of the deep cuff in the midline, 2 to 3 cm below the umbilicus.
What is a peritoneal catheter used for?
A peritoneal catheter is a small plastic tube that is implanted under the skin to provide a painless way of withdrawing excess fluid from or delivering anti-cancer drugs into the abdominal or peritoneal cavity over a period of weeks, months or even years.
How is Tenckhoff catheter inserted?
The best method for the insertion of a Tenckoff catheter is controversial. The most commonly used technique is an open surgical approach by minilaparotomy, often with a general anaesthetic. However, this method is frequently complicated by dialysate leakage through the incision.
How long can you live on peritoneal dialysis?
Average life expectancy on dialysis is 5-10 years, however, many patients have lived well on dialysis for 20 or even 30 years. Talk to your healthcare team about how to take care of yourself and stay healthy on dialysis.
What is life expectancy on peritoneal dialysis?
The mean patient survival time was 38.9±4.3 months, and the survival rates were 78.8%, 66.8%, 50.9% and 19.5% at 1, 2, 3 and 4 years after peritoneal dialysis initiation, respectively.
What is the most serious side effect of peritoneal dialysis?
Peritonitis. A common side effect of peritoneal dialysis is bacterial infection of the peritoneum (peritonitis). Peritonitis can happen if the dialysis equipment is not kept clean. If there are bacteria on the equipment, they can spread to the peritoneum, the thin layer of tissue that lines the inside of the abdomen.
Can you take a bath with a PD catheter?
Do not bath/shower or swim if your exit-site is sore, bleeding or infected. Make sure your catheter is well secured. This can be achieved by using tape or a special PD catheter belt to stop movement of the catheter at the exit-site. Try to prevent trauma or irritation to your exit-site.
Where is peritoneal catheter inserted?
A peritoneal dialysis catheter is a soft plastic tube. One end comes out of your abdomen, whilst the other end of the tube sits low down inside your abdominal cavity. The end of the tube on the outside is small and can be tucked under your clothes.
Why do you need a peritoneal dialysis catheter?
Some patients with end-stage renal disease are candidates for peritoneal dialysis, which uses the peritoneum as a filter to help remove toxins from the blood that can no longer be cleared by the poorly functioning kidneys.
Who is a good candidate for peritoneal dialysis?
You need dialysis if your kidneys no longer function well enough. Kidney damage generally progresses over a number of years as a result of long-term conditions, such as: Diabetes. High blood pressure.
How long does peritoneal surgery take?
PD catheter surgery is considered a minor operation for most patients and complications are often rare. Catheter placement can be done under general anesthesia and usually takes less than one hour. Most people are able to go home the same day.
Where does a peritoneal dialysis catheter go?
(The peritoneum is a thin membrane that lines the abdominal cavity and all the organs in the abdomen.) A catheter is placed in the abdominal cavity, permitting dialysis fluid to be instilled into, and then removed from, the abdomen. Peritoneal dialysis catheters are placed under laparoscopic guidance by a surgeon.
What type of catheter is used for peritoneal dialysis?
The peritoneal dialysis catheter is composed of a flexible silicone tube with an open-end port and several side holes to provide optimal drainage and absorption of the dialysate. The extraperitoneal component of the catheter has either one or two Dacron cuffs. The Dacron cuffs are for optimal ingrowth and fixation.
What is a Tenckhoff catheter made of?
Although more than 50 years have passed since Tenckhoff described the permanent silicone peritoneal catheter with a polyester fiber cuff, his design remains the most widely used and the “gold standard” of peritoneal access.
How do you care for a Tenckhoff catheter?
To prevent pulling, keep holding it while sliding the gauze down the length of the catheter. Rinse the catheter and exit site with a fresh, damp gauze pad and dry the catheter and your skin with a new dry gauze pad. Wipe around the insertion site with a Skin Prep protective wipe.
Where is the flow switch on a Tenckhoff catheter?
Flow switch on the catheter. You will have a Tenckhoff catheter (thin, flexible tube) placed in the lower part of your abdomen (belly) to drain fluid called ascites (ah-SYE-teez). Ascites may cause you to feel pressure and discomfort in your abdomen. For your procedure, your doctor will make a small incision (surgical cut) on your abdomen.
What is the flow switch on a catheter?
The part of the catheter that will extend outside your abdomen at the exit site will be secured with a suture (stitch) to your skin. This part of the catheter will have an on/off switch, called a flow switch, with a small disposable cap on the end of it (see Figure 1). The ascites will drain from your abdomen through the catheter into a cylinder when this switch is turned on.
Why do they put a catheter in the skin?
A part of the catheter will be tunneled under your skin through this incision. This is done to keep the catheter from moving and to lower your risk of infection.
How long after a catheter removal can you remove the dressing?
Ask your nurse for medication to relieve your pain. You can remove the dressing over your incision 24 hours after your procedure. Keep on the dressing over your catheter. The suture holding your catheter may come off by itself after the area heals.
How long after a catheter procedure can you shower?
You can shower after 48 hours after your procedure. Do not take a tub bath or swim while you have your catheter.
When do you call Interventional Radiology?
A staff member from Interventional Radiology will call you 2 business days (Monday through Friday) before your procedure. If your procedure is scheduled on a Monday, they’ll call you on the Thursday before . If you don’t get a call by 12:00 pm the business day before your procedure, call 646-677-7001.
What is a peritoneal dialysis catheter?
A catheter used for peritoneal dialysis that exits the chest instead of the lower abdomen. It is made of two silicone rubber tubes joined at the implantation site by a titanium connector that links its abdominal and presternal parts.
What is a catheter made of?
A tube made of elastic, elastic web, rubber, glass, metal, or plastic used to evacuate or inject fluids into the body. In cardiac catheterization, a long, fine catheter is used for passage through a blood vessel into the chambers of the heart.
What is a guide catheter?
A catheter that makes it easier to enter that vessel with other devices or instruments. Guide catheters are used to facilitate the placement of lasers, stents, and balloons for angioplasty.
Where is the catheter inserted?
A catheter inserted most commonly into the right side of the heart via the brachial, femoral, internal jugular, or subclavian vein for temporary pacing of the heart. The pacing wires or leads provide the electrical stimulus from an external source (a pulse generator).
What is the purpose of a catheter in the superior vena cava?
A catheter inserted into the superior vena cava to permit intermittent or continuous monitoring of central venous pressure, to administer fluids, medications or nutrition, or to facilitate obtaining blood samples for chemical analysis. See: illustration
What is a swan neck catheter?
The Argyle™ swan neck Missouri peritoneal dialysis catheters' design provides additional mass to keep the catheter low in the pelvic gutter, resulting in less catheter migration. A silicone bead rests just inside the peritoneum and is designed to prevent dialysate leakage. The pre-formed 180° angle swan neck is designed to keep both the internal and external portions of the catheter positioned downward. The catheter is intended to keep the internal portion from migrating out of position and to decrease stress on the exit site by the external portion, which often occurs when a straight catheter is manually curved during placement. This catheter is indicated for patients who experience dialysate leakage.
What is the purpose of the Argyle swan neck catheter?
The Argyle™ swan neck Tenckhoff catheter is designed to keep the internal portion of the catheter from migrating out of position and decreases stress on the exit site, preventing debris from collecting at the exit site.
What is an argyle catheter?
Used for short-term and long-term peritoneal chemotherapy, the Argyle™ Tenckhoff catheter is a standard peritoneal catheter that comes in a variety of lengths and cuff configurations to include one (1) attached cuff or two (2) attached cuffs. Also available: the Argyle™ universal Tenckhoff, which is a unique catheter that can be trimmed to fit most patient sizes.
Why is it important to have a peritoneal dialysis catheter?
Peritoneal dialysis catheters are intended to provide permanent access to the peritoneal cavity for patients to fill and drain their dialysate daily. Due to this daily, repetitive use, it’s important to customize the catheter exit site for each patient to help facilitate easy patient and caregiver management. Optimized catheter placement and exit sites can help promote patient compliance for proper maintenance and may help reduce potential complications due to difficult to manage catheters.
What is a swan neck curl cath?
Argyle™ swan neck curl cath peritoneal catheters are different from other catheters due to a pre-formed 180° angle designed to keep both the internal and external portions of the catheter positioned downward. The catheter is intended to keep the internal portion from migrating out of position and to decrease stress on the exit site by the external portion, which often occurs when a straight catheter is manually curved during placement. The additional mass of the curled catheter keeps the catheter low in the pelvic gutter, resulting in less catheter migration. The numerous catheter inflow/outflow holes diffuse dialysate gently into the patient.
Why do you need a straight catheter?
The catheter is intended to keep the internal portion from migrating out of position and to decrease stress on the exit site by the external portion, which often occurs when a straight catheter is manually curved during placement. This catheter is indicated for patients who experience dialysate leakage.
Where is the Argyle swan neck catheter located?
The Argyle™ swan neck presternal peritoneal catheter has an exit site located on the upper chest wall instead of at the belt line, making it ideal for patients with a more active lifestyle, obese patients who may have difficulty manipulating a catheter at the belt line and incontinent patients.