{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T07:06:56Z","timestamp":1784531216537,"version":"3.55.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Subcutaneous Anchor Securement System (SASS) are increasingly used for stabilization of vascular access devices. For many hemodialysis (HD) patients tunneled central venous catheters (t-CVC) are the last vascular access option and their unplanned replacement results in complex procedures and increased costs. Nevertheless, accidental dislodgment of hemodialysis t-CVC is a frequent occurrence in clinical practice. We here describe our first experience with SASS utilization in this unexplored setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Between July 2022 and September 2023, we applied a SASS (SecurAcath\n                      <jats:sup>\u00ae<\/jats:sup>\n                      ) to newly placed Tesio t-CVC in two HD centers. Patients were routinely monitored as per center standard protocol for accidental t-CVC dislodgment, tip migration, t-CVC dysfunction, early and late SASS-related complications, until a censoring event or the end of follow-up (December 2023) occurred. Data were retrospectively collected by two Authors per center, cross-checked, and analyzed with descriptive statistics in a case series.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-four Tesio t-CVC were included in the analysis. Among the entire cohort, the SASS (each with the corresponding t-CVC) were maintained for a total of 5.324 CVC-days. Median single device length of follow-up was 188 (144\u2013276) days. Complete accidental dislodgment with cuff exposure and need for t-CVC replacement was never observed. One bleeding episode was reported among early complications. Infection incidence rate was 0.56 per 1.000 CVC-days and 71% of Tesio t-CVC with their SASS were still in use at the end of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      This is the first report of the use of SASS in HD t-CVC. In our experience, SecurAcath\n                      <jats:sup>\u00ae<\/jats:sup>\n                      was safe and effective for stabilization of Tesio t-CVC.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261417901","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T11:00:32Z","timestamp":1770375632000},"page":"1663-1668","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Subcutaneous anchoring device for securement of tunneled hemodialysis catheters: A first retrospective multicenter case series"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0788-5078","authenticated-orcid":false,"given":"Francesco","family":"Guzzi","sequence":"first","affiliation":[{"name":"Nephrology and Dialysis Unit, Department of Medical Specialties, Azienda USL Toscana Centro, Prato, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giordano","family":"Fumagalli","sequence":"additional","affiliation":[{"name":"Nephrology and Dialysis Unit, Versilia Hospital, Camaiore, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Guenzi","sequence":"additional","affiliation":[{"name":"Nephrology and Dialysis Unit, Department of Medical Specialties, Azienda USL Toscana Centro, Prato, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marica","family":"Biuso","sequence":"additional","affiliation":[{"name":"Nephrology and Dialysis Unit, Department of Medical Specialties, Azienda USL Toscana Centro, Prato, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gesualdo","family":"Campolo","sequence":"additional","affiliation":[{"name":"Nephrology and Dialysis Unit, Department of Medical Specialties, Azienda USL Toscana Centro, Prato, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimiliano","family":"Migliori","sequence":"additional","affiliation":[{"name":"Nephrology and Dialysis Unit, Versilia Hospital, Camaiore, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"De Pietro","sequence":"additional","affiliation":[{"name":"Nephrology and Dialysis Unit, Versilia Hospital, Camaiore, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0b013e3182893690"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000780"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2019.28.2.S4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298251369060"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.05.045"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-020-04737-w"},{"key":"e_1_3_2_8_2","article-title":"Subcutaneously anchored sutureless device for securement of chest tubes in neonates with pleural effusion: three case reports","volume":"2020","author":"Rodriguez Perez C","year":"2020","unstructured":"Rodriguez Perez C, Romitti MG, Pezzotti E, et al. Subcutaneously anchored sutureless device for securement of chest tubes in neonates with pleural effusion: three case reports. 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