Hemodialysis Catheter

Temporary Catheter –

Used in emergency dialysis, it is inserted into the vein in the neck (internal jugular) or thigh (femoral vein).

This is only for short-term dialysis (3-4 weeks). During this period, an AV fistula should be created and matured.

Permanent Catheter (PermCath) –

This is inserted into the jugular vein by tunneling it under the skin. It has a cuff that fits under the skin, reducing the risk of infection. If properly cared for, it can be used for several months.

An AV fistula must be created at least 45 days before the patient requires dialysis.
If an AV fistula is not ready when dialysis is needed, dialysis is started using either a temporary or permanent catheter.
If dialysis starts with a temporary catheter, an AV fistula should be created immediately, as the fistula takes 4-5 weeks to mature, and a temporary catheter is only effective for this period.