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A Permacath, also known as a tunneled catheter, is a type of vascular access device used for patients who require long-term or frequent access to their bloodstream. The Permacath is usually inserted into a large vein in the chest, neck, or groin area under sterile conditions and local anesthesia. The catheter is inserted through a small incision and then tunneled under the skin to a separate exit site, which helps reduce the risk of infection. Permacaths are designed for long-term use, but their lifespan can vary depending on factors such as the patient's underlying medical condition, the type of catheter, and how well it is maintained.