Chest-to-arm (CTA) tunneling has been described recently as a technique that allows an optimal exit site at mid-arm even in chronically ill patients with complex clinical issues and challenging problems of vascular access.

The results in the study are very good and they concluded that CTA tunneling is a safe maneuver, with very low risk of complications, and should be considered as an option in patients with complex venous access.

Authors : Maria Giuseppina Annetta 1, Matt Ostroff 2, Bruno Marche 1, Alessandro Emoli 1, Andrea Musarò 1, Davide Celentano 1, Cristina Taraschi 1, Laura Dolcetti 1, Antonio La Greca 1, Giancarlo Scoppettuolo 1, Mauro Pittiruti 1

1 Fondazione Policlinico Universitario “A.Gemelli”, Rome, Italy.

2 St. Joseph’s University Medical Center, Paterson, NJ, USA.

J Vasc Access. 2023 Jan;24(1):92-98.

DOI: 10.1177/11297298211026825. Epub 2021 Jun 19

PMID: 34148390

To consult the study