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VASCULAR ACCESS – PERMANENT CATHETER

PERM CAT (Permanent Catheter – Permcat)

The permanent catheter (attention! Not to be mistaken with the temporary catheter) is the so-called consumable which, under anesthesia and under ultrasound control, is placed in one of the central vessels of the atrium. And through which, with a high flow rate, the patient’s blood is taken, purified through the hemodialysis machine and then returned to the patient, already filtered.

The visible part of the catheter is usually in the chest area, below the right collarbone.

Positives: – quick to install, can be used immediately.

Negatives: – The indwelling catheter is a kind of entrance for infections. In addition to impeccable disinfection and sterility, which is mandatory for the personnel in the dialysis structure when handling the catheter, it must be maintained in an absolutely clean environment, perfect hygiene must be observed, and it must be sterilely bandaged. Not to be touched, wet, scratched, moved by the patients at home. It would possibly make it difficult or impossible to swim in a pool, go to the sea, etc.

Bathing at home takes place only after placing a waterproof bandage on the catheter, in order to prevent water from reaching it. Dressing of the catheter and its processing is done only by the medical staff in the dialysis center. Despite all precautions and observed rules for disinfection and sterility, contamination of the catheter often occurs, making it an entrance for any infections, entering through it directly into the atrium and quickly covering the patient’s entire organism.

Such infections are extremely dangerous, difficult to control, and the catheter, once infected, must be replaced immediately. Here it is important to note that even with perfect maintenance of the catheter, it is replaced in approx. 4 – 5 years, and if an infection occurs – immediately.

The permanent catheter is a consumable that is not paid for by the Health Insurance Fund. Its price is approx. 550 BGN. – risk of blockage of the catheter – it often happens that the catheter stops working when it is blocked by biological deposits.

Then it needs to be changed again, in quick order. – the aesthetic aspect of the permanent catheter – it is visible, it could hardly remain hidden in the summer. In addition, it is not a suitable option for people who would not want it to be known at their workplace or in the immediate environment that they are undergoing hemodialysis treatment.

Overall, there are pros and cons to both vascular accesses, but it is important to note that the gold standard in hemodialysis requires fistula construction, especially for young and middle-aged patients, and resorting to a catheter only as a true last resort.

НЕФРОЛАЙФ

FREE NEPHROLOGY EXAMINATIONS – 4 YEARS NEPHROLIFE

POLIGRAFF

A campaign for the prevention and treatment of nephrological diseases started in Burgas from today and will continue until the end of the year, NephroLife reported.

The occasion is the 4th birthday of the dialysis center.

Free examinations will take place after a pre-booked appointment on 056/ 555 588.

The goal is people from Burgas region to have access to high-quality health care in the field of nephrology. Another news is that the nephrologist – Dr. Boryana Ivanova* – is part of the health facility team.

During the celebratory cocktail, she presented to the attendees her future plans in the field of dialysis treatment, the development of the center and the enrichment of the offered services – the launch of peritoneal dialysis and some clinical aspects in nephrology. A series of meetings and training seminars on vascular access support, diet in dialysis and pre-dialysis stages, emphasis on diabetic kidney disease, etc. are planned to take place in the center.

We remind you that the dialysis center, located in the Burgas “Izgrev” complex, is the first in Bulgaria to introduce the good practices applied in Israel – one of the centers for quality specialized treatment and innovations in the world. Over the years of its existence, NephroLife has proven itself to patients at home and abroad as a first-class and reliable choice for hemodialysis treatment. The clinic is behind a number of socially engaged campaigns aimed at people with chronic kidney diseases. In addition to the fact that the center is equipped with high-end equipment, the most important thing that patients encounter here is a team of doctors and nurses with a personal, friendly attitude and an individual approach – covering the entire path of follow-up – from prevention as a primary and important step to the very dialysis treatment.

* About Dr. Boryana Ivanova: She graduated  MU-Varna in 2017. From the following year, she was appointed as an assistant at the medical university. Directly participates in the educational process of Bulgarian- and English-speaking medical students. Participates in scientific congresses focused on nephrology and dialysis. She is a member of the Bulgarian Medical Union and the Bulgarian Society of Nephrology. Author and co-author of scientific articles in Bulgarian scientific journals.

Д-Р БОРЯНА ИВАНОВА

DR. BORYANA IVANOVA – NEPHROLOGIST – PART OF THE NEPHROLIFE TEAM

Dear friends,
We present to you the newest addition to our team – Dr. Boryana Ivanova – nephrologist.
She is part of our dialysis unit and will also perform examinations and consultations for all types of kidney diseases.
  • diagnosis and treatment of urinary tract infections
  • acute and chronic renal failure
  • kidney stone disease
  • diabetic kidney disease
  • primary and secondary glomerulopathies
  • hemodialysis/hemodiafiltration
  • emergency vascular access for hemodialysis and peritoneal dialysis.
She graduated from MU-Varna in 2017, specialized in Nephrology at UMBAL “St. Marina” Varna, and the specialty itself acquired in 2022. In 2018, she was a part-time assistant at MU-Varna, as the period from October 2022 to July 2023 she was a full-time assistant.
Directly participates in the educational process of Bulgarian- and English-speaking medical students.
Dr. Boryana Ivanova participates in scientific congresses focused on Nephrology and Dialysis. Member of the Bulgarian Medical Union and the Bulgarian Society of Nephrology. Author and co-author of scientific articles in Bulgarian scientific journals
Areas of interest:
  • Main areas of interest are the prevention,
  • diagnosis and treatment of primary glomerulonephritis,
  • diabetic nephropathy,
  • lupus nephropathy,
  • vasculitis,
  • metabolic nephropathy,
  • acute and chronic pyelonephritis,
  • autosomal dominant polycystic kidney disease,
  • renal failure,
  • kidney stone disease.
  • Additional areas of interest: COVID-associated kidney diseases, Marseille fever with renal involvement, hemorrhagic fever with renal syndrome, UMOD nephropathy, peritoneal dialysis.
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