Permcath Placement

Dialysis is the best treatment for people who are suffering from renal failure. There are various dialysis procedures available, and Perm Catheter Placement is one among them. It is often preferred when other dialysis procedures have failed or in case of long term, dialysis requirement.

Perm catheter is a piece of a plastic tube placed into the blood vessel(vein) near your right atrium. This perm catheter has two hollow bores one carries blood from the body to the dialysis machine, and another one carries blood from the dialysis machine back to your body.

This catheter is supported by the part known as a cuff. This cuff acts as a barrier to prevent infection in the blood. This perm catheter also is known as tunnelled cuffed dialysis catheter.

It is a process of inserting a Perm catheter into your blood vessel in the neck area ( collar bone) and then connected to the right atrium of the heart. This process is mainly used for dialysis in emergencies or case of other failed dialysis procedures. This perm catheter placement is primarily preferred for the patient’s chronic renal failures.

The surgeon may recommend perm catheter placement, mostly when other dialysis procedures failed to function correctly. The perm catheter placement may be temporary or permanent, in which it depends on the severity of the renal failure condition and the results of the previously failed dialysis processes.

• 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.

• 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

To perform these types of surgeries, there is a definite need for experienced surgeons. If you have any queries about Perm catheter placement, contact our nephrologist, who has hands-on experience in performing this kind of procedures with ease.