Permcath Placement Vascular Expert Kolkata

 

PERMCATH PLACEMENT

A permcath or tunnelled catheter goes into the main vein to which all veins of our hand orleg enters. These cathters are easy to place, easy to handle, lasts for few months to a year and easy to get dialysis done. But kept for long they can cause severe infection and narrowing and can choke the main vein and thereby stop all options of future AV fistula or graft.

Permcath therefore should be used in patients in whom fitula or graft is not possible or has failed or patient needs immediate dialysis and has no fistula.

WHAT IS DVT?

DVT is deep vein thrombosis. It means clots choke up your major veins of the body which return blood to heart. DVT is most common in leg , pelvic veins and upper limb veins.
In whom are they common?
They are common in people who had recent history of fever or bedridden state. It is very common after major hip, pelvic, lower limb surgeries. Cancer patients are more prone to Deep vein thrombosis. People who are otherwise active but undergo dehydration can have sudden DVT.

HOW DOES DVT PRESENT?

They may present with sudden onset leg swelling with redness and fever. Pain usually accompanies swelling .

HOW IS IT DIFFERENT FROM CELLULITIS?

Cellulitis is skin and soft tissue infection and can be treated by antibiotics. DVT is clot in major veins and needs to be treated by blood thinners.

HOW TO DIAGNOSE A DVT?

Doppler test is the best modality to diagnose DVT

WHAT ARE THE RISKS OF DVT?

Major DVT s can cause life threatening Pulmonary embolism where a major chunk of the clot can break through and reach the lung vessels and choke them and the patient will stop breathing and collapse and may succumb to death immediately.

The clot in the leg can damage the veins permanently leading to black pigmented swollen legs with recurrent ulcers disfiguring the ankle and feet.

HOW DO YOU TREAT DVT?

An Acute DVT patient should be diagnosed early and treated with blood thinners promptly. In selected patients it is possible to melt or suck the clot using thrombolytic drugs and thrombosuction devices.

CAN PULMONARY EMBOLISM OR DVT BE PREVENTED?

Good hydration, Regular exercise, Abstaining smoking, Seeking preventive care if bedridden or undergoing surgery like using prophylactic medications or stockings can prevent DVT largely.

In a patient with DVT a filter in the main vein of the body can prevent clot to break off and reach lungs thereby preventing life threatening Pulmonary embolism.

Overview of Permcath Placement

• Definition: A permcath (permanent catheter) is a tunneled central venous catheter designed for long-term use, typically inserted into a large vein such as the internal jugular vein. It provides a reliable access point for hemodialysis or other intravenous treatments.
• Procedure: The insertion procedure is minimally invasive and performed under local anesthesia or sedation. Using ultrasound and fluoroscopy guidance, the vascular expert inserts the catheter through a small incision, tunnels it under the skin, and positions the tip in a central vein, usually near the heart.
• Uses: Primarily used for hemodialysis, permcaths are also utilized for administering medications, nutrients, or other treatments that require long-term intravenous access.

What to Expect from a Vascular Expert in Kolkata

• Qualifications: Vascular experts in Kolkata are often board-certified vascular surgeons or interventional radiologists with specialized training in catheter placements and management of vascular access devices.
• Consultation: During the initial consultation, the expert will evaluate the patient's medical history, current health status, and specific needs to determine the suitability of a permcath.
• Procedure: The placement procedure is carried out in a sterile environment, typically in a hospital or specialized clinic equipped with advanced imaging technology. The expert ensures precise placement to minimize complications and optimize functionality.
• Post-Procedure Care: After the placement, the expert provides detailed instructions for catheter care to prevent infections and ensure longevity of the device. Follow-up visits are scheduled to monitor the catheter's condition and address any concerns.

Leading Facilities in Kolkata

Some of the renowned hospitals and clinics in Kolkata where you can find vascular experts skilled in permcath placement include:

• Apollo Gleneagles Hospitals
• Fortis Hospital
• AMRI Hospitals
• Medica Superspecialty Hospital
• Peerless Hospital

These institutions offer state-of-the-art facilities and employ experienced vascular specialists who adhere to international standards of care.

Choosing the Right Expert

• Experience: Look for a vascular expert with extensive experience in permcath placements and a track record of successful procedures.
• Reputation: Consider recommendations from other healthcare providers and patient reviews to gauge the expert's reputation.
• Communication: Choose a specialist who communicates clearly, answers all your questions, and makes you feel comfortable about the procedure and aftercare.

Permcath placement is a critical procedure for patients requiring long-term vascular access, and finding a skilled vascular expert in Kolkata ensures the best possible outcomes and quality of care.