High blood flow and low recirculation rates are central for adequate haemodialysis. A new symmetrical tip has been invented promising efficient haemodialysis even if the ports are reversed. To evaluate access recirculation of the ‘palindrome’ catheter and to report initial experiences in a clinical setting. After implantation of the new catheter in 20 patients (male: 14; female: 6; mean age 72?±?12.2), access recirculation was evaluated using the urea-based recirculation test.