 At that time, Dr. X felt that the patient should use the AV fistula during dialysis and after the fistula is able to be used, the PermCath on the right subclavian should be removed. 
At that time , Dr. X felt that the patient should use the AV fistula during dialysis and after the fistula is able to be used , the PermCath on the right subclavian should be removed .