Permcath Placement Vascular Expert Kolkata

 

Dr. Shubhabrata Banerjee, a Vascular Expert based in Kolkata, provides specialized services in the field of vascular access and management, particularly focusing on Permcath placement. Here is an overview of the services he likely offers:

Permcath Placement and Management Services

1. Initial Consultation and Assessment:

   • Patient Evaluation: Comprehensive assessment of patients to determine their suitability for Permcath placement, considering medical history and specific needs.
   • Site Selection: Choosing the optimal vascular access site using clinical evaluations and imaging techniques.

2. Permcath Insertion:

   • Surgical Procedure: Expertly performing the insertion of the Permcath catheter, ensuring precision and minimal discomfort.
   • Imaging Guidance: Utilizing ultrasound and other imaging modalities to accurately place the catheter in a large vein, typically in the neck or chest area.

3. Post-Placement Care:

   • Monitoring and Follow-Up: Regular follow-up appointments to monitor the catheter site for any signs of infection or other complications.
   • Maintenance Procedures: Conducting routine catheter maintenance, including flushing to prevent blockages and ensure proper function.

4. Complication Management:

   • Infection Control: Identifying and managing infections promptly to prevent severe complications.
   • Troubleshooting Issues: Addressing problems such as catheter malfunction, blockages, or displacement.

5. Patient and Caregiver Education:

   • Home Care Instructions: Providing detailed instructions on how to care for the catheter at home, including cleaning and recognizing signs of potential issues.
   • Emergency Guidelines: Educating patients on what to do in case of an emergency related to the catheter.

6. Coordination with Dialysis Centers:

   • Ensuring Compatibility: Working closely with dialysis centers to ensure that the Permcath is functioning correctly and efficiently for dialysis sessions.

7. Catheter Removal and Replacement:

   • Safe Removal: Performing safe and sterile removal of the Permcath when it is no longer needed or if it needs to be replaced.
   • Replacement Procedures: Inserting a new catheter if required, ensuring continuity of care.

Additional Vascular Services

1. Vascular Access for Other Procedures:

   • Central Line Placement: Inserting other types of central venous catheters for various medical treatments.
   • Peripheral Vascular Interventions: Managing and treating peripheral vascular diseases through minimally invasive procedures.

2. Vascular Diagnostics:

   • Ultrasound and Imaging Services: Providing diagnostic imaging to assess vascular health and plan treatments.
   • Vascular Health Screenings: Offering screenings for early detection of vascular diseases.

Dr. Shubhabrata Banerjee's expertise in vascular access and Permcath management is crucial for patients requiring long-term dialysis and other medical treatments that necessitate reliable vascular access. His comprehensive care ensures both the technical success of the procedures and the overall well-being of his patients.

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.