Module 1: The Y-TEC® Procedure Module 2: Patient Management Module 3: Knowledge Assessment
Renal at home

This program is sponsored by an educational grant from Baxter

The Y-TEC® Academy online learning program is the theoretical component of the Australia and New Zealand Special Interest Group in Interventional Nephrology (ANZSIN) certification process for the insertion of a peritoneal dialysis (PD) catheter using the Y-TEC® peritoneoscopic placement procedure.

The Y-TEC® procedure is a short, same-day discharge procedure performed under local anaesthesia that has the potential to enhance safety, reduce surgery costs and increase a unit’s capacity to perform timely dialysis access procedures.1

Compared with surgical methods of catheter placement, the Y-TEC® procedure has a comparable insertion success rate and incidence of infectious complications over the life of the catheter1,2 with some reports showing significantly longer catheter survival.3,4 Because the procedure only requires a single, small peritoneal puncture of 2.2 mm (which is the diameter of peritoneoscope) peritoneal dialysis can be commenced immediately after the procedure5 with fewer incidences of leakage and infection compared with surgical methods.4 Unnecessary haemodialysis (HD) catheter use can therefore be avoided so that even very late referrals can commence peritoneal dialysis if it is their chosen option. A major advantage of the Y-TEC® procedure is that the catheter can be placed in a timely manner, as determined by the treating renal physician or unit, rather than being dependent on the availability of operating facilities.

ANZSIN accredited
  • 1. Asif A. Semin Dial 2004; 17(5): 398-406.
  • 2. Ash SR et al. Chapter 13: Peritoneal access devices. In: Clinical dialysis, 4th edition. Editors: Nissenson AR and Fine RN. McGraw-Hill Professional, 2005.
  • 3. Pastan S et al. ASAIO Trans 1991; 37(3): M154-56.
  • 4. Gadallah MF et al. Am J Kidney Dis 1999; 33(1): 118-22.
  • 5. Y-TEC® instruction manual. Medigroup, Inc. Downloaded from Accessed December 2009.