【Abstract】 Objective Tunneled cuffed catheter (TCC) has been widely used for hemodialysis for many years in China. Here we summarize and analyze its practical value, operation method, standardized management, and the prevention and treatment of its complications. Methods We collected 61 maintenance hemodialysis dialysis patients (male 21, female 40), including diabetic nephropathy 30 cases, chronic nephritis 23 cases, obstructive nephropathy 2 cases, aristolochic acid nephropathy 3 cases, lupus nephritis one case, and hypertension nephropathy 2 cases for this study. Results TCC for hemodialysis was used in 27 patients, accounting for 23% of total patients in the dialysis center in the study period. The longest duration using TCC lasted for 36 months, with the average of 12±1.08 months. Blood flow rate in the catheter ranged 200-300ml/min. Complications consisted of (a) exit site infection in 3 cases, and catheter related bacteremia in 3 cases, and (b) TCC dysfunction including twist or cacothesis of TCC in 7 cases, thrombosis in 19 cases, partially coming off of TCC in 2 cases, and coming away of TCC in 3 cases. All complications could be treated properly. Conclusion TCC possesses important and practical values for maintenance hemodialysis. It can be used as a long-term vascular access, or as a provisional measure before the maturation of A-V fistula. Compared with graft fistula, TCC has the advantages of easy manipulation and lower cost, and is also suitable for emergency patients. Care must be paid to the prevention and treatment of its complications, and the appropriate management of TCC.