About Permacath Insertion
Key Highlights
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Provides immediate and reliable vascular access for hemodialysis.Designed for long-term use with a Dacron cuff that reduces infection risk and secures the catheter.Procedure is minimally invasive, typically performed under local anesthesia.Allows for efficient blood flow rates necessary for effective dialysis.Can serve as a bridge to a permanent fistula or as a permanent access solution.Insertion is guided by imaging (ultrasound/fluoroscopy) for enhanced safety and accuracy./ul
Who is this surgery for?
- Patients with End-Stage Renal Disease (ESRD) requiring immediate hemodialysis.
- When an arteriovenous fistula or graft has failed or is not yet mature.
- Patients with poor peripheral vasculature unsuitable for fistula creation.
- As a bridge access while awaiting kidney transplantation.
- For patients requiring long-term plasmapheresis or other apheresis procedures.
- In cases of acute kidney injury with an anticipated need for prolonged dialysis.
How to prepare
- Comprehensive evaluation including blood tests, coagulation profile, and imaging of neck/chest veins.
- Review of all medications; may need to temporarily stop blood thinners.
- Informed consent process detailing the procedure, benefits, and risks.
- Fasting for 6-8 hours prior to the procedure if sedation is used.
- Skin preparation with antiseptic wash at the intended insertion site (neck/chest).
- Pre-procedure antibiotic may be administered to prevent infection.
Risks & possible complications
- Infection at the exit site, in the tunnel, or in the bloodstream (catheter-related bacteremia).
- Bleeding or hematoma formation at the insertion site.
- Damage to adjacent structures like arteries, nerves, or the lung (pneumothorax).
- Catheter malfunction, kinking, or occlusion due to clotting (thrombosis).
- Central vein stenosis or thrombosis over the long term.
- Rare risks include air embolism, cardiac arrhythmia, or catheter migration.
Recovery & hospital stay
- Immediate post-procedure monitoring for bleeding, breathing difficulties, or pain.
- A chest X-ray is typically done to confirm correct placement and rule out pneumothorax.
- The exit site will be covered with a sterile dressing; instructions for keeping it clean and dry will be provided.
- Mild soreness at the site is common; pain medication may be prescribed.
- Dialysis can usually begin soon after placement, once confirmed functional.
- Regular follow-ups are needed for dressing changes, flushing the catheter, and monitoring for signs of infection.
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Typical hospital stay: 0-1 days (often outpatient or short stay)
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Expected recovery time: 1-2 weeks for site healing; immediate use for dialysis
Frequently Asked Questions
If you are considering permacath insertion in India, these questions and answers can help you make a confident, informed decision.
Popular choices for permacath insertion in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform permacath insertion. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for permacath insertion compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 35 Thousand – 80 Thousand | 0-1 days (often outpatient or short stay) | ~ 1-2 weeks for site healing; immediate use for dialysis | Know More |
| Turkey | TRY 123 Thousand – 280 Thousand | 0-1 days (often outpatient or short stay) | ~ 1-2 weeks for site healing; immediate use for dialysis | Know More |
Top hospitals for Permacath Insertion in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing permacath insertion.
Sarah Iyer, a 67-year-old retired teacher...
Sarah Iyer, a 67-year-old retired teacher with a history of diabetes and severe peripheral vascular disease, had exhausted all options for creating a traditional arteriovenous fistula or graft in her arms. Her veins were too fragile. Facing end-stage renal disease, her only viable long-term access for hemodialysis was a Permacath. Sarah, who was already grieving her loss of mobility and health, was devastated, fearing the catheter would be painful and limit her activities further. The urologist spent extra time addressing her concerns, explaining the tunneled design's stability and lower infection risk. The procedure under sedation was uneventful. After initial tenderness, Sarah adapted well. The Permacath provided reliable dialysis for years. Emotionally, Sarah transitioned from feeling broken and out of options to finding a resilient sense of normalcy. She joined a patient support group, often reassuring others that while the catheter was a visible reminder of her condition, it also represented her strength and adaptability in continuing to live a full life with her grandchildren.
Urologists for Permacath Insertion
Explore experienced urologists who regularly perform permacath insertion and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore