HICKMAN/ PERMCATH DIALYSIS (TUNNELLED) CATHETERS INSERTION
HICKMAN/ PERMCATH DIALYSIS (TUNNELLED) CATHETERS INSERTION
Why it is necessary:
- For administration of chemotherapy, total parenteral nutrition (TPN), blood products, Intravenous medication or fluid for long term period.
- For long term haemodialysis.
Procedure performed by:
Interventional Radiologists
How it performed:
- It is a long, thin tube that’s inserted through subcutaneous tunnel into central vein.
- There are several types of tunnelled catheters (Hickman), dialysis catheters (permcath).
Precaution to be taken by patient:
- Care for catheter to prevent its accidental removal and proper dressing to minimize risks like infections and block.
What are benefits:
- Spared from the irritation and discomfort of repeated needle sticks.
- For long term haemodialysis with catheter beneath cloth (Non visible outside).
What are risks:
- Blockage (Mainly due to excessive long term use or improper care of catheter).
- Infection (<1 %).
Apart from insertion, Interventional radiologists can open up blocked catheters.
