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Tunneled Permanent Catheter

Caring for you, every step of the way

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.

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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

Regular hemodialysis requirement

Severely reduced kidney function (low GFR)

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:

Dialysis Dependence
Dialysis Dependence
Patients with CKD progressing to the point where dialysis is needed to filter blood regularly.
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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.

Risk Factors

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

Type of Inheritance

Infection

Catheters are more prone to diseases as they create an opening that bacteria can enter
Type of Inheritance

Clotting

Both types of access can clot, obstruct blood flow, and require intervention to restore function
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Permanent Catheter

A permanent catheter is placed in a large neck or chest vein, tunneled under the skin to lower infection risk, and used for blood filtration.