511 results match your criteria Central Venous Access Femoral Vein

Comparison of Femoral and Internal Jugular Vein Catheterisation Trends in Sick Infants.

J Coll Physicians Surg Pak 2022 Jun;32(6):794-798

Department of Pediatric Surgery, School of Medicine, Erciyes University, Kayseri, Turkey.

Objective: To compare two different ways of central venous access in newborns regarding complications and success rates.

Study Design: Descriptive study.

Place And Duration Of Study: Third-level Newborn Intensive Care Units in Kahramanmaras Sutçu Imam University Health Practice and Research Hospital and Megapark Private Hospital, Turkey, between July 2017 and May 2019. Read More

View Article and Full-Text PDF

Bedside Peripheral Ultrasound-Guided Vascular Access in 253 Patients Hospitalized With COVID-19 Pneumonia: A Retrospective Italian Study.

Cureus 2022 Apr 15;14(4):e24157. Epub 2022 Apr 15.

Onco-hematology, Hospital Piacenza, Piacenza, ITA.

Background Several studies have recommended the use of vascular access in the treatment of COVID-19 patients. However, little is known about the utility and safety of using a peripheral ultrasound-guided vascular access device (UGVAD) at the bedside of hospitalized COVID-19 patients. To examine this, a retrospective monocenter study was carried out at the oncology-hematology department of Azienda Sanitaria di Piacenza, Italy. Read More

View Article and Full-Text PDF

Digital radiograph (DR) guided bedside IVC filter placements in patients with intracranial pressure monitors.

J Interv Med 2021 Nov 19;4(4):208-211. Epub 2021 Aug 19.

UT Health San Antonio. San Antonio, TX, USA.

Purpose: The purpose of this study is to report a single center experience with portable digital radiographically (DR) guided bedside IVC filters placed in intensive care unit (ICU) patients with high ICP and elevated head of bed (HOB).

Materials And Methods: A retrospective chart review was conducted on all bedside IVC filters placed from January 1, 2010 to September 16, 2020. Patients with high ICP and elevated head of bed requirements were included. Read More

View Article and Full-Text PDF
November 2021

The inside-out technique is safe and effective for thoracic central venous obstruction.

J Vasc Surg Venous Lymphat Disord 2022 May 10. Epub 2022 May 10.

University of Kentucky College of Medicine, Lexington, KY. Electronic address:

Introduction: Thoracic central venous obstruction (TCVO) presents a challenging scenario for patients requiring central venous access. The inside-out technique for crossing occluded veins has been described, but to date, case series report on limited number of patients. The purpose of this study was to evaluate the indications, efficacy and outcomes of the inside-out technique at a single tertiary academic center, paying close attention to the severity of TCVO using the Society of Interventional Radiology (SIR) TCVO classification. Read More

View Article and Full-Text PDF

Experience with ultrasound use in central venous catheterization (jugular-femoral) in pediatric patients in an intensive care unit.

Arch Argent Pediatr 2022 06;120(3):167-173

Servicio de Terapia Intensiva, Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

Objective: Describe ultrasound-guided central venous catheterization use comparing the number of attempts (1 versus 2 or more attempts) in relation to catheters placed in the internal jugular vein (IJV) versus the femoral vein (FV).

Material And Methods: Descriptive, prospective study of central venous catheters (CVCs) inserted via ultrasound-guided puncture in patients aged 1 month to 18 years. A multivariate regression model was done considering the primary endpoint, first puncture success in relation to the insertion site (IJV versus FV), and predictors of success. Read More

View Article and Full-Text PDF

Infections from temporary catheters in hemodialysis patients in Kosovo.

Saudi J Kidney Dis Transpl 2021 Sep-Oct;32(5):1348-1355

Clinic of Nephrology and Hemodialysis, UCCK Kosovo Hospital, Circle n.n. 10000, Pristina, Kosovo.

The objective of this study is to evaluate the frequency of infections from central venous temporary catheters and the type of a microorganism caused, from January 2017 up to December 2019. This study was performed on patients who were on hemodialysis (HD) through the central temporary venous catheter, right and left femoral vein, right jugular vein, and right subclavian vein.The patients in the HD center in Pristina, Kosovo, were used as a clinical sample. Read More

View Article and Full-Text PDF

Unguided temporary pacing via jugular/subclavian vein in an emergency department of a high-volume tertiary care hospital of India: its safety, efficacy, and practicability.

Egypt Heart J 2022 Apr 25;74(1):33. Epub 2022 Apr 25.

Department of Cardiology, LPS Institute of Cardiology, GSVM, GT Road, Swaroop Nagar, Kanpur, UP, 208002, India.

Background: Temporary pacing is usually performed by cardiologists under fluoroscopic, echocardiographic, or ECG guidance. However, in the developing world, there are inadequate number of cardiologists, and C-arm, catheterization laboratories, or echocardiography are not available at primary or secondary healthcare facilities. In addition, in emergencies option of fluoroscopy and echocardiography is limited. Read More

View Article and Full-Text PDF

Spectrum of Interventional Procedures During Hybrid Central Line Placement in Pediatric Intestinal Rehabilitation Patients With End-Stage Vascular Access.

Front Nutr 2022 28;9:863063. Epub 2022 Mar 28.

Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital, University of Tübingen, Tübingen, Germany.

Background: Loss of available central vein access sites for parenteral nutrition delivery represents one of the main indications for intestinal transplantation in children with intestinal failure. Placement of central venous catheters can be challenging in advanced loss of patent venous pathways. We recently described the hybrid technique (interventional plus surgical approach) of central line placement in children. Read More

View Article and Full-Text PDF

Management of a severe abdominal compartment complicating fulminant cardiogenic-septic shock: An abdominal arterio-venous single-tube ECMO bypass saved a young patient's life after OHCA.

Perfusion 2022 Apr 10:2676591221087545. Epub 2022 Apr 10.

Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital (UKGM) Marburg, Marburg, Germany.

Introduction: In severe cardiogenic shock, for example, following cardiac arrest, the implantation of an extracorporeal hemodynamic assist device often seems to be the last option to save a patient's life. However, even though our guidelines provide a class-IIa-recommendation to implant a veno-arterial extracorporeal membrane oxygenation (vaECMO) device in these patients, the accompanying disease- and device-associated complications and their consequences remain challenging to handle.

Case Presentation: A 43-year-old patient presented with severe cardiogenic-septic shock with a complicating abdominal compartment due to a prolonged out-of-hospital cardiac arrest (OHCA). Read More

View Article and Full-Text PDF

Dialysis vascular access restoration by a transcollateral approach using the Surfacer® Inside-Out® Access Catheter System.

J Vasc Access 2022 Apr 8:11297298221085457. Epub 2022 Apr 8.

Division of Nephrology and Dialysis, Medical University Vienna, Vienna, Austria.

Chronic thoracic venous occlusion (CTVO) as a result of repeated or prolonged central venous catheter insertion represents a significant problem in catheter-dependent patients. Different endovascular techniques techniques have been utilised for CTVO recanalization. The Surfacer® Inside-out® system represents a new approach to restore right-sided central venous access in CTVO by the inside-out recanalization technique. Read More

View Article and Full-Text PDF

Portacath Implantation in Ghana: Initial Experience at the Komfo Anokye Teaching Hospital in Kumasi.

Clin Med Insights Case Rep 2022 22;15:11795476221087910. Epub 2022 Mar 22.

Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Current practice for chemotherapy in most oncology departments is the use of dedicated venous access for the continuous and frequent delivery of drugs, fluids and blood products, and the monitoring of the effects of treatment. The frequent venipuncture of peripheral veins is associated with various complications and discomfort to the patients. Permanent central venous access is therefore very important. Read More

View Article and Full-Text PDF

Ultrasound-guided percutaneous insertion of Broviac lines in infants less than 5kg: Prospective study of 100 consecutive procedures.

J Pediatr Surg 2022 Jan 15. Epub 2022 Jan 15.

Departments of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, UK. Electronic address:

Aim: Ultrasound-guided (USG) percutaneous insertion of Broviac lines (cuffed tunnelled silastic central venous catheters, TCVC) has increasingly been adopted throughout the UK. However, vascular access remains a challenge in small babies and in some units is still performed by open cutdown. Our vascular access team, established in 2004, consists of consultant surgeons, anaesthetists and interventional radiologists, who provide all permanent vascular access by the USG technique. Read More

View Article and Full-Text PDF
January 2022

An Inexpensive Cardiovascular Flow Simulator for Cardiac Catheterization Procedure Using a Pulmonary Artery Catheter.

Front Med Technol 2021 28;3:764007. Epub 2021 Oct 28.

Department of Mechanical, Civil, and Biomedical Engineering, George Fox University, Newberg, OR, United States.

Cardiac catheterization associated with central vein cannulation can involve potential thrombotic and infectious complications due to multiple cannulation trials or improper placement. To minimize the risks, medical simulators are used for training. Simulators are also employed to test medical devices such as catheters before performing animal tests because they are more cost-effective and still reveal necessary improvements. Read More

View Article and Full-Text PDF
October 2021

AI-Enabled, Ultrasound-Guided Handheld Robotic Device for Femoral Vascular Access.

Biosensors (Basel) 2021 Dec 18;11(12). Epub 2021 Dec 18.

Department of Radiology, Massachusetts General Hospital, Boston, MA 02114, USA.

Hemorrhage is a leading cause of trauma death, particularly in prehospital environments when evacuation is delayed. Obtaining central vascular access to a deep artery or vein is important for administration of emergency drugs and analgesics, and rapid replacement of blood volume, as well as invasive sensing and emerging life-saving interventions. However, central access is normally performed by highly experienced critical care physicians in a hospital setting. Read More

View Article and Full-Text PDF
December 2021

Damage control surgery for thoracic outlet vascular injuries: the new resuscitative median sternotomy plus REBOA.

Colomb Med (Cali) 2021 Apr-Jun;52(2):e4054611. Epub 2021 Jun 30.

Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.

Thoracic vascular trauma is associated with high mortality and is the second most common cause of death in patients with trauma following head injuries. Less than 25% of patients with a thoracic vascular injury arrive alive to the hospital and more than 50% die within the first 24 hours. Thoracic trauma with the involvement of the great vessels is a surgical challenge due to the complex and restricted anatomy of these structures and its association with adjacent organ damage. Read More

View Article and Full-Text PDF
December 2021

Chylothorax due to central vein thrombosis treated by venous stenting using a dual approach: A case report.

Medicine (Baltimore) 2021 Dec;100(49):e28100

Department of Radiology, CHU UCL Namur/Site Godinne, Yvoir, Belgium.

Rationale: Central vein thrombosis is an uncommon cause of chylothorax, usually secondary to central venous catheterization in association with prothrombotic state causes such as malignancies. In the following case, thrombosis was located in the left brachiocephalic vein and caused recurrent chylothorax resistant to the first line of treatment and successfully treated by percutaneous recanalization using a dual approach.

Patient Concerns: A 52-year-old male patient with current follicular lymphoma undergoing treatment and recent history of COVID-19 pulmonary infection was hospitalized for dyspnea. Read More

View Article and Full-Text PDF
December 2021

A Comparison of Lower Limb Peripherally Inserted Central Catheter and Deep Venous Catheterisation.

J Coll Physicians Surg Pak 2021 Dec;31(12):1478-1481

Department of Oncology, Beijing Shijingshan Hospital, Capital Medical University, Beijing, China.

Objective: To compare the clinical application effects of peripherally inserted central catheter (PICC) and deep venous catheters placed through the lower limbs in adults with malignancy obviating the use of upper limb PICC.

Study Design: Descriptive study.

Place And Duration Of Study: Department of Oncology, Beijing Shijingshan Hospital, Capital Medical University, Beijing, China between February 2017 and February 2019. Read More

View Article and Full-Text PDF
December 2021

Upper thigh loop prosthetic arterio-venous grafts (AVG) for dialysis access: An Indian perspective.

J Vasc Access 2021 Nov 11:11297298211055632. Epub 2021 Nov 11.

Department of Vascular and Endovascular Surgery, Kauvery Hospital, Chennai, Tamil Nadu, India.

Introduction: Hemodialysis forms the most common replacement therapy for majority of Indians suffering from chronic kidney disease (CKD). Multiple access failure and central vein stenosis has become commonplace in Indian dialysis access patients and there is a burgeoning need for more advanced hemodialysis (HD) access options. Upper thigh arterio-venous grafts (AVG) are seldom inserted due to fear of infection and limb ischemia. Read More

View Article and Full-Text PDF
November 2021

Accidental guide wire migration and late percutaneous externalization after central venous catheterization.

J Vasc Access 2021 Oct 28:11297298211054898. Epub 2021 Oct 28.

Hospital Angelina Caron, Campina Grande do Sul, Paraná, Brazil.

A 70-year-old man was admitted to the emergency department with recent spontaneous externalization of a metallic device from his right inner thigh. He had been experiencing mild local pain for 2 weeks and had a recent hospitalization due to cardiogenic hemodynamic instability, requiring a central venous catheter placement in his right internal jugular vein 3 months earlier. Doppler ultrasound confirmed the intravascular foreign body hypothesis as a guidewire was identified inside the right femoral vein, associated with femoropopliteal venous thrombosis. Read More

View Article and Full-Text PDF
October 2021

The SIF protocol: A seven-step strategy to minimize complications potentially related to the insertion of femorally inserted central catheters.

J Vasc Access 2021 Aug 29:11297298211041442. Epub 2021 Aug 29.

DNP, MSA, APRN, ACNP-BC, VA-BC Hospital Medicine and Vascular Access, Catholic Medical Center-Upper Connecticut Valley Hospital, Colebrook, NH, USA.

The insertion of central venous catheters through the femoral veins is not uncommon and is potentially associated with the risk of immediate puncture-related complications and severe late complications as infection and thrombosis. As for other central venous access devices, the use of a standardized protocol of insertion and the correct application of evidence-based strategies are beneficial in reducing the risk of complications. We proposed a standardized protocol (S. Read More

View Article and Full-Text PDF

Rapid Assessment of Vascular Exit Site and Tunneling Options (RAVESTO): A new decision tool in the management of the complex vascular access patients.

J Vasc Access 2021 Jul 21:11297298211034306. Epub 2021 Jul 21.

Department of Surgery, Catholic University, Rome, Italy.

In the last decade, different standardized protocols have been developed for a systematic ultrasound venous assessment before central venous catheterization: RaCeVA (Rapid Central Vein Assessment), RaPeVA (Rapid Peripheral Vein Assessment), and RaFeVA (Rapid Femoral Vein Assessment). Such protocols were designed to locate the ideal puncture site to minimize insertion-related complications. Recently, subcutaneous tunneling of non-cuffed central venous access devices at bedside has also grown in acceptance. Read More

View Article and Full-Text PDF

Utility and futility of central venous catheterization.

Ann Card Anaesth 2021 Jul-Sep;24(3):378-380

Department of Anaesthesiology, Pain and Palliative Care and Critical Care Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Central venous access is useful for monitoring central venous pressure, inserting pulmonary artery catheter and administering vasoactive drugs in hemodynamically unstable patients. Central venous catheter (CVC) insertion through internal jugular vein may cause major vessel injury, inadvertent arterial catheterization, brachial plexus injury, phrenic nerve injury, pneumothorax, and haemothorax. We describe unusual presentation of hemothorax following CVC placement in a patient undergoing vestibular schwannoma excision. Read More

View Article and Full-Text PDF
November 2021

ECHOTIP-Ped: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in pediatric patients.

J Vasc Access 2021 Jul 13:11297298211031391. Epub 2021 Jul 13.

Department of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Central venous access devices are routinely used in pediatric care for administration of fluids and medications and for drawing blood samples. The adoption of ultrasound guided venipuncture, the availability of bedside ultrasound devices and the use of intraprocedural methods for tip location have been shown to reduce procedure-related complications, as documented by the recommendations of most recent guidelines. In pediatric patients, bedside ultrasound is a promising tool not only for optimizing the choice of the vein and guiding the venipuncture, but also for ensuring an accurate and intraprocedural method of tip navigation and tip location. Read More

View Article and Full-Text PDF

Retrieval of an Intracardiac Cannula Fragment via Femoral Access in a Premature Infant.

Neonatology 2021 18;118(3):373-377. Epub 2021 Jun 18.

Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing, China.

A preterm infant with birth weight 1,550 g had an intravenous foreign body between the external iliac vein and the common iliac vein, which accidentally happened during peripheral intravascular central catheter insertion by the Seldinger technique. The infant initially received conservative management and close monitoring. Antibiotics were administered 4 weeks to treat culture positive sepsis and meningitis. Read More

View Article and Full-Text PDF

A Generalized Approach for Automatic 3-D Geometry Assessment of Blood Vessels in Transverse Ultrasound Images Using Convolutional Neural Networks.

IEEE Trans Ultrason Ferroelectr Freq Control 2021 11 25;68(11):3326-3335. Epub 2021 Oct 25.

Accurate 3-D geometries of arteries and veins are important clinical data for diagnosis of arterial disease and intervention planning. Automatic segmentation of vessels in the transverse view suffers from the low lateral resolution and contrast. Convolutional neural networks are a promising tool for automatic segmentation of medical images, outperforming the traditional segmentation methods with high robustness. Read More

View Article and Full-Text PDF
November 2021

Transposition of the superficial femoral artery combined with ultrasound-guided returning-venous cannulation as a last resort for vascular access in a multi-complicated hemodialysis patient.

J Vasc Access 2021 Jun 6:11297298211023288. Epub 2021 Jun 6.

Department of Surgery, Saiwaicho Memorial Hospital, Okayama, Japan.

A superficialized artery as a blood-drawing route could be an option for vascular access (VA) in hemodialysis patients with cardiac failure, vessel damage, steal syndrome, and venous hypertension, and it could be a secondary VA option in those with repetitive vascular access troubles, routinely requiring a blood-returning venous route. The brachial artery is preferably used for superficialization due to the benefit of its appropriate diameter for cannulation, procedural ease of surgery under local anesthesia, and usable subcutaneous vein for blood-returning route in the upper limb. The superficial femoral artery (SFA) has also been reported as a candidate for arterial transposition; however, its subcutaneous transposition could have difficulties in requiring general anesthesia and securing blood-inflow-venous routes. Read More

View Article and Full-Text PDF

Preferential central venous catheter access with concurrent IVC filter use.

J Vasc Access 2021 May 10:11297298211015073. Epub 2021 May 10.

AMITA Health, General Surgery, Chicago, IL, USA.

In our aging population, there is an increased incidence of concurrent IVC filter and central venous catheter use. One of the risks of concurrent use is filter embolization, which almost always occurs due to the J-tipped guidewire. In this case, we describe the successful placement of a central venous catheter in the femoral vein in a patient with an IVC filter. Read More

View Article and Full-Text PDF

Distal superficial femoral vein versus axillary vein central catheter placement under ultrasound guidance for neonates with difficult access: A randomized clinical trial.

J Vasc Access 2021 Jul 28;22(4):642-649. Epub 2021 Apr 28.

Department of Anesthesiology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, PR China.

Background: Epicutaneo-caval catheters (ECCs) are extensively used in premature and ill neonates. This prospective, randomized, observational study aimed to compare the outcomes of ECC placement in the distal superficial femoral and axillary veins in neonates with difficult ECC access.

Methods: In a neonatal intensive care unit at a tertiary referral center, 60 neonates with difficult ECC access were randomized into two groups with catheters placed using the ultrasound-guided modified dynamic needle tip positioning (MDNTP) technique: distal superficial femoral vein (DSFV) and axillary vein (AV) groups. Read More

View Article and Full-Text PDF

Severe leg swelling following removal of a temporary femoral venous hemodialysis catheter.

Semin Dial 2021 05 25;34(3):263-265. Epub 2021 Apr 25.

University Vascular Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka.

Temporary central venous catheters are commonly used for patients who require emergency hemodialysis (HD). An arteriovenous fistula (AVF) is a rare complication of this procedure. In this case report, we present a patient who was diagnosed with an iatrogenic femoral AVF after cannulation of the right femoral vein with a temporary HD catheter. Read More

View Article and Full-Text PDF

An unexpected diagnosis of intravascular loss of guidewire after central venous catheterization - a case report.

Pol Merkur Lekarski 2021 Apr;49(290):143-145

Medical University of Gdansk, Poland: Department of Internal and Pediatric Nursery.

Hemodialysis is the dominant method of renal replacement therapy. The condition of its effectiveness is obtaining adequate vascular access, among others, central catheters. Central venous catheterization is a routine procedure, but it carries a risk of complications. Read More

View Article and Full-Text PDF