Table 4.
Interventions and Complications Related to Ascites Management
| Patients Who Had Only Paracenteses |
Patients with Paracenteses and Drainage Catheter Placement |
||||
|---|---|---|---|---|---|
| n = 64 | % | n = 116 | % | P Value | |
| Total number of serial paracenteses (range 1–7) | <.001 | ||||
| 0 (not clinically indicated) | 18 | 28 | 8 | 7 | |
| 1–2 | 37 | 58 | 60 | 52 | |
| ≥3 | 9 | 14 | 48 | 42 | |
| Drainage catheters placed | |||||
| Tenckhoff catheter | – | – | 108 | 93 | |
| Removeda | – | – | 6 | 5 | |
| Replaceda | – | – | 2 | 2 | |
| Denver shunt | – | – | 1 | 1 | |
| Pleurx catheter | – | – | 11 | 9 | |
| Pleurex only | – | – | 4 | 3 | |
| Pleurex and Tenckhoff | – | – | 7 | 6 | |
| Pigtail catheter | – | – | 4 | 3 | |
| Pigtail only | – | – | 3 | 3 | |
| Pigtail and Tenckhoff | – | – | 1 | 1 | |
| Patients with ≥2 catheters | – | – | 8 | 7 | |
| Patient with catheter- or paracentesis related complications | <.001 | ||||
| Yes | 11 | 17 | 46 | 56 | |
| Specific type of complications | |||||
| SBP/peritonitis | 4 | 26 | |||
| Ascites leakage | 2 | 1 | |||
| Catheter malfunction | – | 8 | |||
| Acute renal failureb | 2 | 3 | |||
| Bowel perforation | 1 | 2 | |||
| Othersc | 2 | 5 | |||
Abbreviation: SBP = spontaneous bacterial peritonitis.
a
Catheter removed/replaced secondary to: Tenckhoff malfunction (3), SBP/peritonitis (2), bleeding from catheter site (1), ascites leakage (2).
b
Consequence of increase fluid removal from serial paracentesis.
c
Cellulitis at catheter site (2), sepsis (2), bacteremia (1).