Background: Hemodialysis venous access is a main line of treatment in renal failure and can be used as a bridge therapy towards other lines of treatment such as kidney transplantation and hemodialysis access via arterio-venous fistula. However, a significant proportion of these patients have complications related to the hemodialysis access. Objective: to measure rate of thrombosis and dislodgement of tunneled jugular venous access and evaluate relation between tunnel length and catheter tip position with occurrence of these complications. Patients and Methods: This prospective study involved 65 adult CKD patients who underwent tunneled jugular venous catheter insertion at Ain Shams University Hospitals between September 2021 and August 2023. All patients were monitored for six months for complications. Catheter placement had a 100% technical success rate. Mean +- SD for the catheter tip position below the carina was 3.61 +- 1.57 cm, below the cardiomediastinal angle was 5.66 +- 1.87 cm, and tunnel length was 6.44 +- 2.14 cm. Results: Among 65 patients, 14 (21.5%) developed thrombosis, 18 (27.7%) experienced catheter dislodgement, and 29 (44.6%) developed catheter-related infections. Notably, 18 of the 23 total cases of catheter malfunctioning (77.8%) occurred within the first three months. Additionally, 31 catheters (47.7%) were removed early, and 61.3% of those removals occurred within three months of insertion. Conclusion: The tunneled jugular venous access is considered in many times as an effective bridge therapy for CKD patients before other more reliable interventions like renal transplantation and arteriovenous fistula creation. Yet it is not free from complications with most of them occurred in the first three months. Kulcsszavak: CKD, hemodialysis, tunneled catheter, catheter tip position, venous access