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Permcath Insertion

What is Permcath Insertion?

Permcath insertion involves placing a tunnelled hemodialysis catheter to provide long-term access for regular hemodialysis patients. This catheter is designed to allow efficient blood flow, ensuring reliable dialysis treatments, especially for patients with kidney disease unsuitable for AV fistula or grafts.

How Does the Permcath Insertion Procedure Work?

The Permcath insertion procedure is a minimally invasive technique performed to establish safe and durable vascular access for hemodialysis. Here’s how it works:

Preparation

Imaging tests such as an ultrasound or X-ray are used to identify the best vein (usually the jugular or subclavian) for catheter placement.

  • Local Anesthesia is administered to numb the area, ensuring the patient remains comfortable.
  • A small incision is made, and the tunnelled hemodialysis catheter (Permcath) is inserted through a large vein.
  • The catheter is tunnelled under the skin to minimise infection risks, and the external end is secured to the skin for easy access during dialysis treatments.

Patients are monitored briefly after the procedure and provided with detailed home care and catheter maintenance instructions.

Types of Hemodialysis Catheters

unnelled Haemodialysis Catheter (Permcath)

 This type of catheter is designed for long-term hemodialysis. The tunnelled Permcath is placed under the skin, reducing infection risks and providing a stable and durable access point for frequent dialysis treatments.

Non-tunneled catheters are used for short-term or emergency hemodialysis access. They are inserted directly into a vein and are not tunnelled under the skin, making them suitable for temporary use only.

Temporary catheters are typically placed for short-term dialysis access, often in acute settings or when other access points are unavailable.

Benefits of Permcath Insertion for Hemodialysis

Risks of Permcath Insertion

While the Permcath insertion procedure is generally safe, potential risks include:

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