{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:02:37Z","timestamp":1789167757969,"version":"build-2803163510"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T00:00:00Z","timestamp":1644796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2022,7]]},"abstract":"\n Background:<\/jats:title>\n In 1953, Swedish radiologist Sven Seldinger introduced a technique for blood vessel or hollow organ access using a needle, guide wire and catheter. Over the last two decades, this technique has been used for Peritoneal Dialysis (PD) catheter placement, \u201cSeldinger PD\u201d (SPD). To improve the safety and accuracy of SPD, ultrasound, X-ray guidance, contrast imaging and micropuncture techniques have been incorporated to a greater or lesser extent.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This manuscript describes a new and rigorous technique of SPD developed at our unit and results in the first 64 cases. One of our goals was to replace emergency Central Vein Catheter Hemodialysis with \u201cUrgent-Start\u201d PD. We therefore sought to develop a procedure that was ultra-safe, minimally invasive and readily done on the sickest patients under Local Anesthetic. As the technique was new to our unit, and because of progressive modifications of the technique, some of the results reflect our \u201clearning curve.\u201d In addition, 55% of the patients referred to our program had \u201ccrashed\u201d into renal failure, 32% were deemed \u201cunfit for General Anaesthesia\u201d by the Anaesthetists and 53% were moderately to severely obese, resulting in a very morbid and vulnerable cohort.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Despite this, we had no procedure related mortality, no organ injury and no significant bleeding. Technical success was 97% (intention-to-treat). Urgent Start PD was used in 36%; overall, 3\/61 catheters placed experienced PD fluid leak. Correct catheter tip placement \u2013 in the Pelvic Pouch \u2013 was documented in all cases; significant catheter migration was seen in 18% of those with imaging follow-up, only two requiring revision. Most catheter migrations occurred early in our series before our low peritoneal puncture technique became standard.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n We believe this SPD technique is safe, precise, clinically and financially cost-effective and can replace other forms of PD placement in most situations.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/11297298221077607","type":"journal-article","created":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T01:14:51Z","timestamp":1644887691000},"page":"615-623","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Changing the peritoneal dialysis access algorithm with a precise technique of percutaneous Seldinger PD catheter placement"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2883-3894","authenticated-orcid":false,"given":"Jan \u201cJohn\u201d","family":"Swinnen","sequence":"first","affiliation":[{"name":"Vascular Surgery, Westmead Hospital, Sydney, NSW, Australia"},{"name":"University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Baker","sequence":"additional","affiliation":[{"name":"Radiology Department, Westmead Hospital, Sydney, NSW, Australia"},{"name":"Notre Dame University, Darlinghurst, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Burgess","sequence":"additional","affiliation":[{"name":"Cardiology, Blacktown Hospital, Blacktown, NSW, Australia"},{"name":"Western Sydney University, Penrith, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Allen","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Westmead Hospital, Sydney, NSW, Australia"},{"name":"University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan","family":"O\u2019Grady","sequence":"additional","affiliation":[{"name":"Radiology Department, Westmead Hospital, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Chau","sequence":"additional","affiliation":[{"name":"Western Sydney University, Penrith, NSW, Australia"},{"name":"Nephrology, Blacktown Hospital, Blacktown, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,14]]},"reference":[{"key":"bibr1-11297298221077607","first-page":"266","volume":"16","author":"Norvak M","year":"2008","journal-title":"Dial Transplant"},{"key":"bibr2-11297298221077607","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-139X.2003.16051.x"},{"key":"bibr3-11297298221077607","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2013.00204"},{"key":"bibr4-11297298221077607","doi-asserted-by":"publisher","DOI":"10.1159\/000365826"},{"issue":"5","key":"bibr5-11297298221077607","first-page":"CD004680","volume":"5","author":"Htay H","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr6-11297298221077607","doi-asserted-by":"publisher","DOI":"10.4103\/0971-4065.41280"},{"key":"bibr7-11297298221077607","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12862"},{"key":"bibr8-11297298221077607","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2012.00160"},{"key":"bibr9-11297298221077607","first-page":"141707","volume":"2011","author":"Abdel-Aal AK","year":"2011","journal-title":"Radiol Res Pract"},{"key":"bibr10-11297298221077607","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2013.00029"},{"key":"bibr11-11297298221077607","unstructured":"ANZData Registry. Chapter 4: Haemodialysis. Australia and New Zealand Dialysis and Transplant Registry, Adelaide, SA, Australia, http:\/\/www.anzdata.org.au (2020, accessed 28 September 2020)."},{"issue":"1","key":"bibr12-11297298221077607","first-page":"CD012899","volume":"1","author":"Htay H","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr13-11297298221077607","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp313"},{"key":"bibr14-11297298221077607","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12125"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298221077607","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298221077607","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298221077607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:20:36Z","timestamp":1777692036000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298221077607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,14]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1177\/11297298221077607"],"URL":"https:\/\/doi.org\/10.1177\/11297298221077607","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,14]]}}}