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Patients undergoing peritoneal dialysis catheter placement via fluoroscopy and ultrasound-guidance experienced significantly fewer complications at 1 year post-insertion than did patients whose catheters were placed laparoscopically. The image-guided insertion technique may allow for expeditious catheter placement in late-referred patients with end-stage renal disease, thus facilitating urgent-start peritoneal dialysis and avoiding the need for temporary vascular-access catheters.
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