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Is it more difficult than usual to insert  a UAC catheter in 2 vessel cord and are there any reasons why the procedure is more likely to fail in 2 vessel cord situation?

I also have an exceedingly low success rate in SUA cases (I am credentialing at a new facility and reviewed 3 years of my umbilical lines and I had only one successful UAC in SUA listed over a 3 year period)

Yes , I do feel that is the case. Maybe the anatomy is also slightly malformed and it will need more pathological details .

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