Permcath & Fistulaplasty
Permcath Insertion and Fistuloplasty are important interventional Radiology procedures used in patients who require long term Dialysis treatment specially those with kidney failure. These procedures are important in providing reliable vascular access, which is crucial for successful haemodialysis. Dr. Zaheer Shirazi is a specialist in image-guided vascular access procedures, offering safe, minimally invasive solutions for patients with dialysis-related complications.
Permcath (tunnelled dialysis catheter) is often used for immediate or temporary dialysis access. It is placed in a large vein in the neck or chest and allows blood to flow in and out of the body during dialysis. This procedure is performed by Dr. Zaheer Shirazi under imaging guidance to ensure accurate placement, fewer complications and immediate usability for dialysis treatment. Permcaths are especially useful for patients who don’t yet have a mature fistula or graft.
Fistuloplasty, conversely, is a procedure that treats narrowing or blockage of an existing arteriovenous (AV) fistula, which is the preferred long-term access for dialysis. Over time, fistulas can develop stenosis (narrowing), which can lead to poor blood flow and difficulty during dialysis sessions . Dr. Zaheer Shirazi utilises a minimally invasive balloon to dilate the narrowed segment, thereby enhancing blood flow and dialysis efficiency.
Fistuloplasty is done by threading a small catheter with a balloon to the area of interest under imaging control. The balloon is then gently inflated to open up the narrowed vessel and in some instances a stent may be placed to maintain long-term patency. This procedure prolongs the life of the fistula and reduces the need for new vascular access points. It is safe, effective and usually done without any major surgery.
Dr. Zaheer Shirazi is a trusted expert in the management of dialysis access including Permcath insertion and Fistuloplasty. His expertise in interventional radiology translates into more accurate, less invasive treatment, faster recovery, and fewer complications. These procedures are crucial in assisting dialysis patients in providing reliable vascular access, enhancing the efficacy of treatment and improving the overall quality of life.
