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January 7, 1974

The Tenckhoff Catheter for Peritoneal Dialysis

Author Affiliations

Medizinische Universitätsklinik Göttingen, Germany

JAMA. 1974;227(1):79-80. doi:10.1001/jama.1974.03230140049029

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To the Editor.—  Rae and Pendray in The Journal (225:937,1973) have recommended peritoneal dialysis with the silicone-rubber tube described by Tenckhoff and Schechter for permanent and temporary treatment of chronic renal failure.In our clinic, 82 Tenckhoff catheters were implanted in 65 patients during 33 months, with 2,146 peritoneal dialyses within 262 cumulative months. Clinical signs of peritonitis were observed in 21 patients; in ten of these treatment was effective and the catheter remained unimpaired. The other 11 had to be removed. In three cases fibrin clots obliterated the catheter lumen, in three others there was an infection of the skin tunnel, once a loosening of the catheter and once its penetration into the intestinal lumen occurred. During the present observation time the average survival time was just over three months, but in a few cases the catheter lasted for more than one year. The survival time was mainly limited