Abstract : <p>The mortality and risk factors in poor access dialysis patients especially during the Covid-19 period has not been fully explored. Objective: We designed the present retrospective cohort study to evaluate the survival and mortality risk factors of poor access hemodialysis patients with femoral tunneled catheters. All 62 poor venous access patients with femoral permanent catheters (permicath) on chronic hemodialysis at our university hospital were enrolled in the study between September 2019 and April 2021. Poor venous access was defined as people who had no other mean for dialysis access other than the femoral catheter. Causes of deaths were divided into 4 groups: Catheter-related (Bleeding, sepsis,), catheter-non related (cardiovascular disease, Pneumonia, pulmonary edema, cancer, ICH), no access for hemodialysis and Covid-19. Death time was classified as less than 30 days, between 1-6 months and after 6 months. The mean age was 54.56 (SD: 15.70) years. Of 25 deaths 5 deaths (8.1%) happened when the patients didn&rsquo;t have any vascular access for dialysis. The most frequent cause of death during 2020-2021 was covid-19 (9.7%). Survival rate at 6 months and 1 year was 76% and 61% respectively. Poor access HD patients had a lower survival rate than the general HD population and we should do our best to improve the survival by improving their comorbidities status, using the best catheters as we can, and educating dialysis nurses and patients to save their catheters as no access is one of the important causes of their mortality.</p>