Would you offer peritoneal dialysis to a patient with ESKD who also has a ventriculoperitoneal shunt?

I would not place a PD catheter in an adult ESRD patient who has a ventriculoperitoneal shunt (VPS). I would instead place a hemodialysis vascular access and encourage this patient to do home hemodialysis. However, if the patient had exhausted all vascular access sites and was catheter-dependent, I would consider placing a PD catheter. My major concerns with placing a PD catheter in this patient would be the potential for bacterial meningitis or an ascending shunt infection from PD-related peritonitis and the potential for VP shunt malfunction from high intra-abdominal pressures and possible fibrin occlusion.

However, a review of the literature suggests that there is no absolute contraindication to placing a PD catheter in an ESRD patient wi...