TY - JOUR T1 - Usefulness of the alpha maneuver in the peritoneal catheter displacement: Review and experience JO - Nefrología (English Edition) T2 - AU - del Río García,Laura AU - Bueno,Carmen Merino AU - Ledo,Leonardo Alcuria AU - Santamarta,Lucía Álvarez AU - Suárez,Carmen Rodríguez AU - Álvarez,Emilio Sánchez SN - 20132514 M3 - 10.1016/j.nefroe.2020.03.018 DO - 10.1016/j.nefroe.2020.03.018 UR - https://www.revistanefrologia.com/en-usefulness-alpha-maneuver-in-peritoneal-articulo-S2013251420301164 AB - Introduction and objectivesPeritoneal catheter displacement is one of the most common complications of peritoneal dialysis. The alpha manoeuvre has been proposed as a repositioning technique, which involves returning the catheter to its correct position using rigid guidewires under fluoroscopic guidance. The aim of this study is to analyse the 107 procedures performed at our Centre to identify factors that may predict the success of the technique. Material and methodsThe alpha manoeuvre method was used in 86 patients, with a total of 107 procedures (70 patients underwent one manoeuvre only, 16 patients underwent two or more manoeuvres). ResultsThe overall success rate of the technique was 60%. There were no differences in success rate in terms of gender (60% male vs 40% female, p = 0.104), time of catheter failure (early 60% vs late 62%, p = 0.849), type of catheter (75% self-locating vs 58% spiral, p = 0.633) or the initial position of the catheter. There was only one case of peritonitis related to the procedure. ConclusionsThe alpha manoeuvre is an effective and safe method for correcting peritoneal catheter displacement. ER -