A permcath is used when dialysis needs to start immediately, or as a bridge while a fistula matures. Unlike a fistula, it can be used immediately. It is not intended as long term access because the risk of infection and blockage is higher.

Insertion is done under local anaesthetic with sedation, or under general anaesthetic, using ultrasound and x-ray guidance so the tube sits in the right place. The procedure usually requires about an hour.

Dr Salter’s rooms will inform you of what you will need to know beforehand. The full checklist is on the Patient Information page.

There is some discomfort in the neck and chest for a few days. The dressing must be kept dry, so showering needs care, and baths and swimming are not possible while the permcath is in place.