Comparative outcomes of image-guided percutaneous catheterization versus direct visualization catheterization for peritoneal dialysis: A meta-analysis

Yi Li, Lifang Li, Meiju Wei, Yanxiong Qin, Yuechen Qin, Yue Zou, Haijian Zeng, Chunlan Li and Tingting Liao

PLOS ONE, 2025, vol. 20, issue 7, 1-15

Abstract: Introduction: Debate persists on the optimal catheterization method for peritoneal dialysis (PD). This meta-analysis aimed to compare the outcomes of image-guided percutaneous catheterization (IGPC) versus direct visualization catheterization (DVC) for peritoneal dialysis. Materials and methods: From the inception of the database until July 16, 2024, four databases (Medline, Embase, Web of Science, and the central database) were searched for literature comparing IGPC versus DVC for peritoneal dialysis. Meta-analyses were conducted on infectious complications, mechanical complications, one-year PD catheter survival, and catheter removal rates. Results: Totally 11 studies were included in this meta-analysis, comprising a total of 8,981 patients, of which 2,518 patients received IGPC and 6,463 patients received DVC. IGPC exhibited lower rates of infection complications (OR = 0.73, 95% CI: 0.54-0.99, P = 0.04) mechanical complications (OR = 0.64, 95% CI: 0.42-0.99, P = 0.04) and catheter removal compared to DVC (OR = 0.63, 95% CI: 0.50-0.78, P

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0325600

DOI: 10.1371/journal.pone.0325600

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