Permacath is a piece of long, thin, flexible tube with two hollow holes, which is inserted into a vein. It is inserted mostly into the internal jugular vein in the neck and usually into the femoral vein in the groin area. One hollow bore will carry blood from the body to the dialysis machine and the other part will carry blood from the dialysis machine to the body. The cuffed Permacath will hold the catheter in place and act as a barrier to protect against infection.Best Permacath Insertion Doctor In Andheri, Mumbai

How is Perm Catheter Placement performed?

• A tiny and flexible tube known as IV cannula is placed in the back of the hand to insert the medications directly into the vein.
• They will lie down on his back, and the surgeon relaxes the body to relieve any discomfort during the procedure.
• By using a sterile solution to clean the area where the catheter is inserted.
• Under general anaesthetic conditions, the surgeon will insert a wire into the right atrium of the heart through the external jugular vein.
• Then the surgeon will create a tunnel to place the perm catheter into the right atrium of the heart.
• The cuff in the perm catheter will help to keep and hold the catheter in the chest wall.
• After placing the perm catheter successfully, The place where the catheter leaves the chest wall will be closed with stitches. This helps to keep the catheter at the right positions
• After finishing the process, the surgeon will take an X-ray to confirm the position of the inserted perm catheter.
• This perm catheter consists of 2 hollow bores which are red and blue. Red is an arterial opening that helps to draw the blood from the body whereas the blue is venous opening which helps to transfer the cleaned blood to your body

Common Conditions Requiring Perm Catheter Insertion

• Acute Kidney Care
• Chronic Kidney Disease (CKD)
• Heart Failure with Fluid Overload
• Failed AV Fistula or Graft
• Critical Care Patients
• Long-term use of pain relievers or certain medications
• Glomerulonephritis – inflammation of the kidney filters
• Dehydration or serious infection affecting kidney function

Risks of Dialysis Perm Catheter Insertion

• Bleeding: Mild bruising or bleeding may occur at the insertion site.
• Infection: Prevented with sterile techniques and regular catheter care.
• Catheter malfunction: Can occur if the catheter gets kinked or displaced.
• Blood clots: May form inside the catheter, requiring medication or replacement
• Pneumothorax: Rare risk when inserting into the chest veins, monitored carefully.

Advantages of Perm Catheter Placement:

• Perm catheter is less prone to infection
• Longer life in the body compared to the other temporary jugular catheter
• Easy to place and also easy for removal, replacements procedures
• More economical than other processes
• No maturation time
• No need for a large incision

Kidney Issues Treated by Dr. Rohan Desai

• Acute Kidney Care
• Chronic Kidney Disease (CKD) Management
• Rise In Creatinine
• Kidney Biopsy
• Glomerular Disease Management
• Kidney Transplant Care
• Hypertension
• Electrolyte & Acid-Base Disorders
• Diabetic Kidney Disease
• Critical Care Nephrology
• Urinary Tract Infection