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Tunneled Permanent Catheter

Caring for you, every step of the way

KIdni

A Permanent Catheter, also known as a tunnelled dialysis catheter, is a tube inserted into a large vein (usually in the neck or chest). This catheter provides immediate access to dialysis, making it suitable for patients who need urgent dialysis or those who cannot have an A.V. Fistula. While it offers quick access, a Permanent Catheter has a higher risk of infection and other complications compared to an A.V. Fistula.

Symptoms

These vascular access methods are typically indicated for patients with chronic kidney disease (CKD) or end-stage renal disease (ESRD) who require regular dialysis. Indications include:

Chronic Kidney Failure

Urgent Need for Dialysis

Urgent Need for Dialysis

Causes for Treatment

The primary reason for establishing an A.V. Fistula or Permanent Catheter is to create reliable vascular access for patients requiring dialysis. These procedures are necessary when:

Kidneys Lose Functionality
Kidneys Lose Functionality
For patients with ESRD or severe CKD where kidney function is minimal or nonexistent.
Permanent Catheter
Preparation for Hemodialysis
Vascular access must be created in advance to ensure smooth dialysis sessions without repeated needle insertions into fragile veins.
Dialysis Dependence
Dialysis Dependence
Patients with CKD progressing to the point where dialysis is needed to filter blood regularly.

Risk Factors

There are some risks associated with both A.V. Fistulas and Permanent Catheters, including

Infection
Infection
Catheters are more prone to diseases as they create an opening that bacteria can enter
Guide Treatment
Clotting
Both types of access can clot, obstruct blood flow, and require intervention to restore function
Permanent Catheter
Permanent Catheter
A Permanent Catheter is usually placed in a large vein in the neck or chest, and it is tunneled under the skin to reduce infection risk. This is typically done under local anesthesia. The catheter has two lumens—one for drawing blood and another for returning it to the body after filtration.