Book Description
The mission of the American Society of Diagnostic and Interventional Nephrology (ASDIN) is to promote the proper application of new and existing procedures to improve the care of patients with kidney disease. The Society promotes education, research, public policy and clinical practice initiatives relating to diagnostic and interventional procedures. In an educational program a complete and up-to-date Curriculum is essential. The Residents, Fellows and Practicing Nephrologists rely on their mentors to train them in procedures necessary to provide successful dialysis access. However, since there are several ways to accomplish any goal, the trainees also need a Curriculum which summarizes literature to provide evidence regarding advantages and disadvantages of each technique. This Core Curriculum provides this summary for peritoneal dialysis catheter procedures, which are the sine qua non of a successful dialysis program. The Curriculum represents a collaborative effort from Interventional Nephrologists in a wide variety of practices, from Universities to Private Hospitals to Access Centers. Each author is a recognized expert in the particular procedure or technique that they present. In the Introduction, Dr. Salman and Dr. Asif describe how a successful peritoneal access program directly leads to a larger PD program. Drs. Ash and Agarwal summarize various catheter designs and data indicating relative success of each. They also provide an overview of placement techniques (surgical, laparoscopic, peritoneoscopic, fluoroscopic). They define criteria for normal function and malfunction of PD catheters. Dr. Henry describes the surgical (dissective) technique of catheter placement, which entails dissection of the layers of the anterior abdominal wall. Dr. Zibari provides a detailed description of the laparoscopic technique while Dr. Abreo and colleagues describe the fluoroscopic/dilator/splitsheath approach to PD catheter placement. Dr. Mishler describes the single-puncture peritoneoscopic procedure. Dr. Salman and Dr. Asif focus on complications associated with catheter insertion and describe the PD catheter removal technique. Finally, Dr. Schon and Dr. Wang provide define the proper CPT codes to be used for all PD catheter procedures. This Curriculum should be invaluable to all healthcare professionals performing peritoneal dialysis catheter procedures.