Permcath Placement Vascular Expert Kolkata

 

PERMCATH PLACEMENT

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.

• Hospitals, Medica Superspecialty Hospital, and Peerless Hospital. These hospitals typically have experienced vascular surgeons and nephrologists who perform permcath placements.
• Specialized Clinics: Search for specialized vascular or dialysis clinics that offer permcath placement.

2. Consult Nephrologists and Vascular Surgeons

• Nephrologists: They can refer you to a trusted vascular surgeon for permcath placement.
• Vascular Surgeons: Specialists in vascular surgery who perform permcath placements.

3. Check Qualifications and Experience

• Look for surgeons with extensive experience in permcath placement.
• Review their qualifications, patient reviews, and success rates.

4. Online Resources

• Hospital Websites: Visit the websites of major hospitals to find information on their vascular experts.
• Medical Directories: Use platforms like Practo, Lybrate, or Credihealth to find and book appointments with vascular experts.

5. Personal Recommendations

• Ask for recommendations from your general physician, family, or friends who may have had similar procedures.

6. Second Opinions

• Consider getting a second opinion to ensure you are comfortable with the procedure and the chosen specialist.

Sample List of Vascular Experts and Hospitals in Kolkata:

1. Dr. Arindam Pande - Consultant Vascular Surgeon at Apollo Gleneagles Hospital.
2. Dr. Siddhartha Bandyopadhyay - Consultant Vascular Surgeon at Fortis Hospital.
3. Dr. Sujit Kundu - Senior Consultant Vascular and Endovascular Surgeon at AMRI Hospitals.
4. Dr. Debabrata Roy - Consultant Vascular Surgeon at Medica Superspecialty Hospital.
5. Dr. Hirak Bagchi - Vascular Surgeon at Peerless Hospital.

Contact Information

• Apollo Gleneagles Hospital: 033 2320 3040
• Fortis Hospital: 033 6628 4444
• AMRI Hospitals: 033 6680 0000
• Medica Superspecialty Hospital: 033 6652 0000
• Peerless Hospital: 033 2462 2391

Steps to Schedule an Appointment:

1. Contact the Hospital/Clinic: Call or visit the hospital's website to book an appointment.
2. Consultation: Schedule a consultation with the vascular expert to discuss the procedure, risks, and benefits.
3. Preparation: Follow the pre-procedure instructions provided by the hospital.