Related Experiment Video

Updated: Nov 26, 2025

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

2.9K

Permcath - A Vascular Access for Hemodialysis, Our Experience in Last Two Years

P R Baidya1, K Shrestha2, M L Deuja3

  • 1Department of Cardiothoracic and Vascular Surgery, Sahid Dharma Bhakta National Transplant Center, Bhaktapur, Nepal.

Kathmandu University Medical Journal (KUMJ)
|December 14, 2020
PubMed

Insights

Permcath provides reliable short-term vascular access for hemodialysis patients when other options fail. It serves as a crucial bridge to renal transplant or arteriovenous fistula maturation, despite potential complications.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • The double lumen tunneled catheter (Permcath) is primarily an alternative vascular access for End Stage Renal Disease (ESRD) patients undergoing hemodialysis.
  • It becomes a viable option when native arteriovenous fistula (AVF) creation is not feasible, has failed, or is not possible.

Purpose of the Study:

  • To determine the indications for Permcath insertion.
  • To evaluate the complications associated with Permcath placement.
  • To assess the overall outcomes of Permcath use in hemodialysis patients.

Main Methods:

  • A retrospective review of 92 Permcath insertions performed under ultrasound guidance across two hospitals.
  • Data collected from April 2016 to April 2018.
  • Analysis of insertion sites, complications, reasons for removal, and patient survival.

Main Results:

  • The majority of insertions were in the right internal jugular vein (59.78%).
  • Major complications included left internal jugular vein tear (2.17%) leading to hypotension and cardiac arrest, and septicemia (3.26%) causing early mortality.
  • Permcath was removed in 42.39% of cases, primarily due to post-renal transplant status (19.57%) or AVF maturation (14.13%).

Conclusions:

  • Permcath is a dependable short-term vascular access solution for hemodialysis.
  • It effectively bridges patients to renal transplantation or allows for arteriovenous fistula maturation.
  • Careful consideration of potential complications is necessary.

More Related Videos

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

1.3K
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

15.7K

Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
725
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
238
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
1.1K
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
318
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
126
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
68