# Perm venous access

**URL:** <https://forums.homedialysis.org/t/perm-venous-access/6871>\
**Category:** Stuart Mott, Cannulation Expert\
**Created:** [March 21, 2019, 10:56am UTC](https://forums.homedialysis.org/t/perm-venous-access/6871 "2019-03-21T10:56:19Z")\
**Posts on this page:** 2\
**Page:** 1

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**Author:** ![nefros](https://forumcdn.homedialysis.org/letter_avatar_proxy/v4/letter/n/919ad9/32.png) [@nefros](https://forums.homedialysis.org/u/nefros)\
**Post date:** [March 21, 2019, 10:56am UTC](https://forums.homedialysis.org/t/perm-venous-access/6871/1 "2019-03-21T10:56:19Z")

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Hello Stuart,

What are the major challenges for permanent venous access? Is it the risk of infection? If yes, what kind of infection we mean? Blood infection or skin/tissue infection?

Thanks

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**Author:** ![Stuart\_Mott](https://forumcdn.homedialysis.org/user_avatar/forums.homedialysis.org/stuart_mott/32/183_2.png) [@Stuart\_Mott](https://forums.homedialysis.org/u/Stuart_Mott)\
**Post date:** [September 9, 2019, 12:20am UTC](https://forums.homedialysis.org/t/perm-venous-access/6871/2 "2019-09-09T00:20:40Z")

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what do you mean by permanent venous access, buttonhole? as far as infection go if you use (kinder gentler way to clean buttonhole sits) published 2011 please google. we are doing a 10 year follow up still no reported infections using this mothod