First permcath dialysis access procedure performed successfully at Livasa Hospital
Livasa Hospital Khanna has successfully performed its first permcath insertion for long-term dialysis access, marking a significant milestone in advanced nephrology care at the unit.
City Air News
Feb 24, 2026 07:12
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Khanna, February 24, 2026: Livasa Hospital Khanna has successfully performed its first permcath insertion for long-term dialysis access, marking a significant milestone in advanced nephrology care at the unit.
A 60-year-old female patient, a known case of hypertension and chronic kidney disease (CKD), was initially started on hemodialysis at an outside facility via a temporary right internal jugular vein (IJV) catheter. She later presented to the emergency department at Livasa Hospital with complaints of decreased urine output, breathlessness, fever, and generalized body swelling.
The patient was managed conservatively, following which her urine output improved. However, due to recurrent fever spikes and suspected catheter-related sepsis, the temporary right IJV dialysis catheter was removed. An attempt to create an arteriovenous (AV) fistula was made, but the procedure was unsuccessful owing to poor vascular suitability.
With no functional dialysis access available, the case was managed by Dr. Deepali Kaushal, consultant nephrology and transplant physician, who proceeded with permcath insertion at Livasa Hospital Khanna.
The procedure was performed under local anesthesia using ultrasound (USG) guidance, ensuring precision, safety, and optimal catheter placement. The patient is currently stable, asymptomatic, and maintained on infrequent hemodialysis.
Permcath insertion is indicated in patients with AV fistula failure or when AV fistula creation is not feasible due to inadequate vascular anatomy. This procedure provides reliable and longer-term vascular access for patients requiring ongoing dialysis support.
Speaking on the case, Dr. Deepali Kaushal said, “In patients with chronic kidney disease, securing safe and sustainable dialysis access is critical. Early recognition of catheter-related infection and timely intervention can prevent serious complications. Ultrasound-guided permcath insertion enhances procedural accuracy and significantly reduces risks.”
