Permacath: A Practical Option for Hemodialysis Access For those starting hemodialysis (HD), an AV fistula is ideal but takes time to develop. A permacath offers a good alternative to begin treatment right away. It's a tunneled catheter designed for longer-term use. The procedure is straightforward. Under local anesthesia and fluoroscopic guidance, the permacath is inserted into the internal jugular vein in the neck. This is usually done in an outpatient setting, with minimal recovery needed. Dia
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