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 Medanta The Medicity, Manipal Hospital Old Airport Road, Kamineni Hospital LB Nagar, Miot Hospital Chennai, Manipal Hospital Bhubaneswar, 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 | USD 381 – USD 870 | 0-1 days (often outpatient or short stay) | ~ 1-2 weeks for site healing; immediate use for dialysis | Know More |
| Turkey | USD 2,818 – USD 6,442 | 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.
My dad was admitted to MGM...
My dad was admitted to MGM with a bad fever and we were all worried. Dr. Ramya Shri was the one who really talked to us. She didn't just give medical updates; she explained things in a way we could understand, told us what to watch for at home, and actually listened to our concerns. It made a stressful time much easier to handle.
Urologists for Permacath Insertion
Explore experienced urologists who regularly perform permacath insertion and provide pre- and post-operative care in India.
- 14 Years Experience
- Urologist
Manipal Hospital Mysore
- 16 Years Experience
- Urologist
Manipal Hospital Vijayawada
- 33 Years Experience
- Urologist
Manipal Hospital Malleshwaram
- 32 Years Experience
- Urologist
Manipal Hospital Malleshwaram
- 25 Years Experience
- Urologist
Manipal Hospital Kharadi
- 19 Years Experience
- Urologist
Manipal Hospital Kharadi
- 11 Years Experience
- Urologist
Gem Hospital Coimbatore
- 9 Years Experience
- Urologist
Manipal Hospital Kharadi
- 42 Years Experience
- Urologist
Manipal Hospital Jayanagar
- 35 Years Experience
- Urologist
Manipal Hospital Jayanagar
- 33 Years Experience
- Urologist
Manipal Hospital Jayanagar
- 16 Years Experience
- Urologist
Manipal Hospital Jayanagar
- 28 Years Experience
- Urologist
SIMS Hospital Vadapalani
- 27 Years Experience
- Urologist
SIMS Hospital Vadapalani
- 21 Years Experience
- Urologist
SIMS Hospital Vadapalani
- 24 Years Experience
- Urologist
SIMS Hospital Vadapalani
- 11 Years Experience
- Urologist
Manipal Hospital Siliguri
- 11 Years Experience
- Urologist
Manipal Hospital Hebbal
- 29 Years Experience
- Urologist
Kamineni Hospital Vijayawada
- 18 Years Experience
- Urologist
Manipal Hospital Bhubaneswar