The conversion from non- tunneled to TCC performed by nephrologists and without fluoroscopy may be safe by using the internal right jugular vein. Hypertension and duration of existing non- tunneled catheter of less than 2 weeks were independently associated with better TCC survival. Catheter malfunction requiring intervention occurred at a rate of 0.03 per 100 catheter days. Infection requiring catheter removal occurred at a frequency of 0.09 per 100 catheter days. Life table analysis revealed primary patency rates of 92%, 82%, and 68% at 30, 60, and 120 days, respectively. Ninety-one of the 130 catheters were removed during the study period. There was a total of 26,546 catheter days. 130 procedures were performed in 122 patients (51+/-18 years). We performed an observational prospective cohort in incident patients receiving hemodialysis through a non- tunneled right jugular vein catheter. Few prospective studies have been designed to evaluate conversion from non- tunneled to TCC without the use of fluoroscopy when performed by nephrologists. The tunneled cuffed catheter (TCC) is used as a bridge access for hemodialysis. Motta Elias, Rosilene da Silva Makida, Sonia Cristina Abensur, Hugo Martins Castro, Manuel Carlos Affonso Moysés, Rosa Maria Pereira, Benedito Jorge Bueno de Oliveira, Rodrigo Luders, Cláudio Romão, João Egidio
Insertion of tunneled hemodialysis catheters without fluoroscopy.