459 results match your criteria Central Venous Access Femoral Vein


Ultrasound-guided double central venous access for azygos vein via the ninth and tenth intercostal veins.

J Vasc Access 2020 Jun 30:1129729820937133. Epub 2020 Jun 30.

Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan.

Some patients with intestinal failure, who are dependent on total parenteral nutrition for long periods, suffer from a lack of suitable conventional venous access points, including axillary, external jugular, internal jugular, subclavian, saphenous, and the brachio-cephalic and femoral veins, due to their occlusion. Furthermore, extensive central venous stenosis and/or thrombosis of the superior and inferior vena cava may preclude further catheterization, so uncommon routes must be used, which can be challenging. In such patients, the azygos vein via the intercostal vein is a viable candidate. Read More

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http://dx.doi.org/10.1177/1129729820937133DOI Listing

Bowel Puncture During Insertion of a Femoral Central Line in the Emergency Department.

Am J Case Rep 2020 Jun 16;21:e924607. Epub 2020 Jun 16.

Department of Critical Care, Dalhousie University, Halifax, Nova Scotia, Canada.

BACKGROUND Central venous catheter (CVC) insertion is commonly performed in the emergency department. The femoral vein is often chosen for insertion of CVCs due to its lower risk for complication. We present a rare complication of bowel puncture during insertion of a femoral CVC in the emergency department in a 46-year-old female. Read More

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http://dx.doi.org/10.12659/AJCR.924607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319600PMC

Determination of optimal implantation site in central venous system for wireless hemodynamic monitoring.

Int J Cardiol Heart Vasc 2020 Apr 3;27:100510. Epub 2020 Apr 3.

Cardiovascular Research & Innovation Centre, National University of Ireland Galway, Ireland.

Background/purpose: In recent years, treatment of heart failure patients has proved to benefit from implantation of pressure sensors in the pulmonary artery. Despite this, pulmonary artery pressure is related to the left ventricle, and cannot provide information on the right side of the heart. By contrast, pressure in the central venous system is directly connected to the right atrium and could potentially predict a wider range of heart failure conditions. Read More

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http://dx.doi.org/10.1016/j.ijcha.2020.100510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132147PMC

Cannulation of the superficial femoral vein at mid-thigh when catheterization of the superior vena cava system is contraindicated.

J Vasc Access 2019 Dec 25:1129729819896473. Epub 2019 Dec 25.

Department of IV team, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Purpose: Patients needing medium- to long-term infusion therapy with limited catheterization via the superior vena cava system is a challenging condition. The conventional catheterization via the femoral vein in the groin has a high complication rate, discomfort, and short indwelling time. Since changing the insertion site can avoid the disadvantage of conventional catheterization via the femoral vein in the groin, the present study aimed to investigate the effects of femoral inserted central catheters insertion via the superficial femoral vein at the mid-thigh to resolve the issue of limited superior vena cava system catheterization. Read More

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http://dx.doi.org/10.1177/1129729819896473DOI Listing
December 2019

A Novel Inside-out Access Approach for Hemodialysis Catheter Placement in Patients With Thoracic Central Venous Occlusion.

Am J Kidney Dis 2020 04 29;75(4):480-487. Epub 2019 Nov 29.

Department of Nephrology, Medical University of Vienna, Vienna, Austria.

Rationale & Objective: Left-sided internal jugular and all subclavian central venous catheters (CVCs) cause thoracic central vein occlusions (TCVOs) more often than right-sided internal jugular catheters. To enable right-sided CVC placement in patients with TCVO, an inside-out access (IOA) approach was established at 3 vascular access centers in Europe involving use of a novel IOA device advanced from the right femoral vein. In the current analysis, we assessed the eligibility and success rate of this IOA approach in a cohort of patients with TCVO requiring a tunneled dialysis catheter. Read More

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http://dx.doi.org/10.1053/j.ajkd.2019.08.024DOI Listing

Reduced patency in left-sided arteriovenous grafts in a porcine model.

J Vasc Surg 2020 Jul 4;72(1):305-317.e6. Epub 2019 Nov 4.

Division of Vascular and Endovascular Surgery, Department of Surgery, Yale University, New Haven, Conn; Vascular Biology and Therapeutics Program, Yale University School of Medicine, New Haven, Conn; Department of Surgery, VA Connecticut Healthcare Systems, West Haven, Conn. Electronic address:

Objective: The porcine arteriovenous graft model is commonly used to study hemodialysis vascular access failure, with most studies using a bilateral, paired-site approach in either the neck or femoral vessels. In humans, left- and right-sided central veins have different anatomy and diameters, and left-sided central vein catheters have worse outcomes. We assessed the effect of laterality on arteriovenous prosthetic graft patency and hypothesized that left-sided carotid-jugular arteriovenous prosthetic grafts have reduced patency in the porcine model. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.06.221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196525PMC

Atrial Fibrillation and Atrial Flutter Ablation - an Unconventional Approach.

J Atr Fibrillation 2019 Jun 30;12(1):2106. Epub 2019 Jun 30.

Medical Student Government Kilpauk Medical College & Hospital.

Background: Radiofrequency cathether ablation (RFCA) of Atrial Fibrillation (AFib) and typical atrial flutter (AF) is traditionally performed via femoral vein approach and all devices are designed to be delivered via inferior access. In rare cases of congenital or iatrogenic obstruction of inferior vena cava (IVC), RFCA of arrhythmias is performed via transhepatic approach.

Case Report: 87 year old male patient with history of IVC filter placement for recurrent deep venous thrombosis and AFib on amiodarone developed symptoms with worsening Afib burden resulting in deterioration of left ventricular ejection fraction. Read More

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http://dx.doi.org/10.4022/jafib.2106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6811339PMC
June 2019
1 Read

Recommendations on the Use of Ultrasound Guidance for Central and Peripheral Vascular Access in Adults: A Position Statement of the Society of Hospital Medicine.

J Hosp Med 2019 Sep 6;14:E1-E22. Epub 2019 Sep 6.

Division of General & Hospital Medicine, University of Texas Health San Antonio, San Antonio, Texas.

Preprocedure: 1) We recommend that providers should be familiar with the operation of their specific ultrasound machine prior to initiation of a vascular access procedure.2) We recommend that providers should use a high-frequency linear transducer with a sterile sheath and sterile gel to perform vascular access procedures.3) We recommend that providers should use two-dimensional ultrasound to evaluate for anatomical variations and absence of vascular thrombosis during preprocedural site selection. Read More

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http://dx.doi.org/10.12788/jhm.3287DOI Listing
September 2019
6 Reads

Symptomatic catheter-associated thrombosis in pediatric trauma patients: Choose your access wisely.

Surgery 2019 12 13;166(6):1117-1121. Epub 2019 Sep 13.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA. Electronic address:

Background: Traumatic injury and the presence of a central venous catheter are 2 of the strongest risk factors for venous thromboembolism in children. The purpose of this study was to determine the incidence of symptomatic, catheter-associated thrombosis in critically injured children. We hypothesized that femoral venous catheters are associated with a greater rate of thrombotic complications when compared with all other central venous access points. Read More

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http://dx.doi.org/10.1016/j.surg.2019.05.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7169988PMC
December 2019
3 Reads

Internal Jugular Vein as Alternative Access for Implantation of a Wireless Pulmonary Artery Pressure Sensor.

Circ Heart Fail 2019 08 1;12(8):e006060. Epub 2019 Aug 1.

Heart and Vascular Center, University of California San Francisco (A.S.H., L.K.).

Background: A wireless pulmonary artery pressure sensor (CardioMEMS) is approved for implantation via the femoral vein. The internal jugular vein (IJ) is an attractive alternative access route commonly used in pulmonary artery catheterization.

Methods And Results: Retrospective chart review was performed for all sensor implants from 10 providers at 4 centers from September 2016 to June 2018. Read More

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http://dx.doi.org/10.1161/CIRCHEARTFAILURE.119.006060DOI Listing
August 2019
5 Reads

Femoral vein transposition is a durable hemodialysis access for patients who have exhausted upper extremity options.

J Vasc Surg 2020 Mar 3;71(3):929-936. Epub 2019 Sep 3.

Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.

Objective: Access surgeons often encounter patients with end-stage renal disease who have exhausted all upper extremity hemodialysis access options. Although the lower extremity is often the next alternative, prosthetic lower extremity access can be prone to infectious complications and historically has poor patency. We describe our contemporary experience with an autogenous femoral vein transposition (FVT) arteriovenous fistula. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.07.062DOI Listing
March 2020
3 Reads

Guidewire Mishap: An Avoidable Iatrogenic Complication.

Indian J Crit Care Med 2019 Aug;23(8):382-383

Department of Medicine, ESIC Medical College and Hospital, Faridabad, Haryana, India.

Central vein catheterization is a commonly used technique in indoor patients. It is mainly used for venous access, allowing administration of drugs, fluids, chemotherapy, blood components. Central vein catheterisation may lead to many complication which includes bleeding, perforation of veins and hematoma formation, thrombosis, infections, bleeding, needle stick injury, air embolism, kinking or looping of the wire tip, breakage of a guidewire, etc. Read More

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http://dx.doi.org/10.5005/jp-journals-10071-23225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709834PMC
August 2019
1 Read

The inside-out technique for tunneled dialysis catheter placement with central venous occlusion.

J Vasc Surg Cases Innov Tech 2019 Sep 9;5(3):350-355. Epub 2019 Jul 9.

Greenville Health System, Greenville, SC.

The "inside-out" technique eliminates the need for subclavian or femoral catheter placement by placing a supraclavicular catheter via a percutaneous femoral vein access. Few reports of its use in vascular surgery exist. The purpose of this article is to describe our version of the technique and report results. Read More

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http://dx.doi.org/10.1016/j.jvscit.2019.03.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624247PMC
September 2019
3 Reads

Real-Time Ultrasound-Guided Venous Access of the Arm for Right Heart Catheterization.

J Invasive Cardiol 2019 Jul;31(7):E170-E176

Memorial Regional Hospital, 1150 N. 35th Avenue, Suite 605, Hollywood, FL 33021 USA.

Objective: Arterial access from the wrist for cardiac catheterization is increasingly being used. Right heart catheterization (RHC) is an integral part of many of these procedures. Reliable venous access from the arm allows avoidance of femoral or jugular venous access for RHC. Read More

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July 2019
5 Reads

Outcomes of venous bypass combined with thoracic outlet decompression for treatment of upper extremity central venous occlusion.

J Vasc Surg Venous Lymphat Disord 2019 09 5;7(5):660-664. Epub 2019 Jun 5.

Dialysis Access Institute, Orangeburg, SC.

Background: Upper extremity central venous stenosis results from a variety of environmental and anatomic conditions, including venous thoracic outlet syndrome, the presence of device leads or catheters, and the turbulence created by the presence of arteriovenous fistulas or grafts. In cases of total occlusion, especially at the bony costoclavicular junction, options for endovascular treatment and open venous reconstruction are limited and bypass grafting may be needed. We describe our experience with venous bypass combined with thoracic outlet decompression in a cohort of symptomatic patients with subclavian vein occlusion. Read More

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http://dx.doi.org/10.1016/j.jvsv.2019.03.016DOI Listing
September 2019
13 Reads

Incidence of and risk factors for venous thrombosis in children with percutaneous non-tunnelled central venous catheters.

Br J Anaesth 2019 Sep 6;123(3):316-324. Epub 2019 Jun 6.

Department of Paediatric Perioperative Medicine and Intensive Care, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden; Department of Physiology and Pharmacology, Section of Anaesthesia and Intensive Care, Karolinska Institutet, Stockholm, Sweden; Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Huddinge, Stockholm, Sweden. Electronic address:

Background: Venous thrombosis (VT) in children is often associated with a central venous catheter (CVC). We aimed to determine the incidence of VT associated with percutaneous non-tunnelled CVCs in a general paediatric population, and to identify risk factors for VT in this cohort.

Methods: Observational, prospective study enrolling consecutive patients at a tertiary multi-disciplinary paediatric hospital. Read More

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http://dx.doi.org/10.1016/j.bja.2019.04.055DOI Listing
September 2019
10 Reads

Malposition of hemodialysis catheter into the hepatic veins: A case report.

Pak J Med Sci 2019 Mar-Apr;35(2):583-585

Ceren Gumusel Department of Internal Medicine, University of Health Science Bakirkoy, Dr. Sadi Konuk Educational and Research Hospital, Istanbul, Turkey.

Permanent central vein catheter for hemodialysis is a choice for hemodialysis vascular access. Permanent dialysis catheters may be inserted through the jugular, subclavian and femoral veins. It may be inserted when the patient have short life expectancy or not suitable for fistula operation. Read More

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http://dx.doi.org/10.12669/pjms.35.2.416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500834PMC
May 2019
5 Reads

Comparison of hyperemic efficacy between femoral and antecubital fossa vein adenosine infusion for fractional flow reserve assessment.

Postepy Kardiol Interwencyjnej 2019 27;15(1):52-58. Epub 2019 Mar 27.

Institute of Cardiology, Jagiellonian University, Krakow, Poland.

Introduction: Intravenous infusion of adenosine via the femoral vein is commonly used to achieve maximum hyperemia for fractional flow reserve (FFR) assessment in the catheterization laboratory. In the era of transradial access for coronary interventions, obtaining additional venous access with sheath insertion in the groin is unpractical and may be associated with a higher risk of bleeding complications. In a vast majority of cases, patients scheduled for the catheterization laboratory are already equipped with peripheral vein access in antecubital fossa vein. Read More

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http://dx.doi.org/10.5114/aic.2019.83652DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488844PMC
March 2019
5 Reads

Femoral Vein Transposition Arteriovenous Fistula is a Feasible Option in "Selected" Patients as Hemodialysis Access.

Ann Vasc Dis 2019 Mar;12(1):25-29

Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

: Lower extremity hemodialysis access is offered to the patients who have severe central venous stenosis. Femoral vein transposition arteriovenous fistula (FV tAVF) is an alternative to lower leg arteriovenous prosthetic grafts. Its safety and patency is under observation. Read More

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http://dx.doi.org/10.3400/avd.oa.18-00118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434362PMC
March 2019
15 Reads

A Systematic Ultrasound Evaluation of the Diameter of Deep Veins in the Newborn: Results and Implications for Clinical Practice.

Neonatology 2019 15;115(4):335-340. Epub 2019 Mar 15.

Department of Surgery, Fondazione Policlinico A. Gemelli IRCSS, Rome, Italy.

Background: In adults and children, current guidelines recommend measuring the diameter of the vein before the insertion of central catheters, in order to match vein diameter with catheter caliber and thus reduce the risk of venous thrombosis. In the neonatal intensive care unit, central catheters are often used but the vein diameter is usually not considered.

Method: We assessed the diameter of the most relevant deep veins in 100 newborns, using a strict protocol of ultrasound evaluation. Read More

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http://dx.doi.org/10.1159/000496848DOI Listing
December 2019
24 Reads

Vascular access types in hemodialysis patients in palestine and factors affecting their distribution: A cross-sectional study.

Saudi J Kidney Dis Transpl 2019 Jan-Feb;30(1):166-174

Department of Internal Medicine, Kent Hospital, Brown University, Rhode Island, USA.

The incidence of end-stage renal disease (ESRD) patients is increasing considerably worldwide, and most of the patients start their therapy by hemodialysis (HD). Arteriovenous fistula (AVF) is the best type of vascular access due to its decreased rate of complications followed by arteriovenous graft (AVG) and finally, central venous catheters which are associated with increased mortality and morbidity. In this study, we aim to find out the proportion of each vascular access type used in HD patients and to evaluate the epidemiology of HD access in Palestine. Read More

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May 2020
8 Reads

Stent-retriever thrombectomy in the treatment of infants with acute thrombosis of the superior vena cava and innominate vein.

Catheter Cardiovasc Interv 2019 05 9;93(6):E357-E361. Epub 2019 Feb 9.

Department of Pediatric Cardiology, University Hospital Tuebingen, Tuebingen, Germany.

Objectives: To describe the efficacy and safety of stent-retriever thrombectomy in infants with thrombosis of the superior vena cava (SVC) and innominate vein.

Background: Thrombosis of the SVC and of the innominate vein is a potentially life threatening complication in infants during intensive care treatment following major surgical procedures. To avoid reoperations, we evaluated interventional revascularization by stent-retriever thrombectomy. Read More

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http://dx.doi.org/10.1002/ccd.28142DOI Listing
May 2019
34 Reads

A left femoral artery to right femoral vein bypass graft for hemodialysis access: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14268

Department of Nephrology, Lishui Municipal Central Hospital, Lishui, Zhejiang Province, China.

Rationale: As survival prospects improve for long-term patients with hemodialysis, it is common for patients to exhaust all upper extremity access options before other avenues need exploration. The purpose of this case report was to describe our experience in creating a prosthetic graft between left femoral artery and right femoral vein in a patient with history of central venous occlusion and bilateral femoral neck fracture.

Patient Concerns: A female patient with hemodialysis exhausted all upper extremity access options along with bilateral femoral neck fracture. Read More

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http://dx.doi.org/10.1097/MD.0000000000014268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380751PMC
February 2019
5 Reads
5.723 Impact Factor

Delayed malposition of a double-lumen hemodialysis catheter that caused hemorrhage and hypovolemic shock: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14192

Department of Emergency Medicine, Kaohsiung Medical University Hospital.

Rationale: Double-lumen hemodialysis catheters are commonly used as temporary hemodialysis routes. Complications include infection, thrombosis, cardiac arrhythmia, entrapped guide wire, and malposition. We report a rare complication of delayed hemodialysis catheter malposition that caused retroperitoneal hemorrhage and hypovolemic shock during hemodialysis. Read More

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http://dx.doi.org/10.1097/MD.0000000000014192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370124PMC
January 2019
12 Reads

Vascular access for hemodialysis: Current practice in Vietnam.

J Vasc Access 2019 May 31;20(1_suppl):20-23. Epub 2018 Dec 31.

Hemodialysis Department, Bach Mai Hospital, Hanoi, Vietnam.

A well-functioning vascular access is a mainstay to perform an efficient hemodialysis procedure, which directly affects the quality of life in hemodialysis patients. We use three main types of access: native arteriovenous fistula, arteriovenous graft, and central venous catheter. Arteriovenous fistula remains the first and best choice for chronic hemodialysis. Read More

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http://dx.doi.org/10.1177/1129729818771883DOI Listing
May 2019
7 Reads

Feasibility and safety of exclusive echocardiography-guided intravenous temporary pacemaker implantation.

J Echocardiogr 2019 09 13;17(3):157-161. Epub 2018 Nov 13.

Department of Cardiology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101, Beer Sheva, Israel.

Background: The standard approach for urgent trans-venous temporary cardiac pacemaker (TVTP) implantation is fluoroscopy guidance. The delay in activation of the fluoroscopy-room and the transfer of unstable patients may be life-threatening. Echocardiography-guided TP implantation may increase the safety of the patients by obviating the need for in-hospital transfer. Read More

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http://link.springer.com/10.1007/s12574-018-0406-4
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http://dx.doi.org/10.1007/s12574-018-0406-4DOI Listing
September 2019
43 Reads

Survival and Clinical Outcomes of Tunneled Central Jugular and Femoral Catheters in Prevalent Hemodialysis Patients.

Blood Purif 2019 25;47(1-3):132-139. Epub 2018 Oct 25.

Background: The literature on the outcomes of tunneled femoral catheters compared to that of jugular catheters is scarce and derived mainly from small cohorts.

Material And Methods: Seven hundred and sixty six catheters were placed in 673 hemodialysis patients, 622 in the jugular/subclavian veins and 144 in the femoral veins. Patients were followed prospectively for 36 months. Read More

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https://www.karger.com/Article/FullText/494206
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http://dx.doi.org/10.1159/000494206DOI Listing
May 2019
68 Reads

Association of Infections with the Use of a Temporary Double-Lumen Catheter for Hemodialysis.

Nephrol Nurs J 2018 May-Jun;45(3):261-267

Medicine Professor, Nephrology Division, Internal Medicine Department, Ribeirão Preto Medical School, University of São Paulo.

The goal of this study was to identify the occurrence of secondary infection due to the use of temporary double-lumen catheters for hemodialysis in 96 patients with acute kidney injury or acute chronic kidney disease. For each patient, we collected a swab from the skin localized in the insertion of catheter before antisepsis; blood cultures from the catheter lumen, peripheral vein, and central venous access in withdrawing catheter; and cultures of catheter tips. Catheters were implanted into a femoral vein in 56. Read More

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February 2019
9 Reads

The equations of the inserted length of percutaneous central venous catheters on neonates in NICU.

Pediatr Neonatol 2019 06 3;60(3):305-310. Epub 2018 Aug 3.

Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Linkou, Taiwan. Electronic address:

Background: In neonatal intensive care units, a percutaneous central venous catheter (PCVC) is inserted peripherally and threaded into a central venous location, when intravenous access is anticipated for an extended period of time. The tip location of PCVCs should be checked by an X-ray after the procedure. The present study aimed to determine an equation to estimate the optimal insertion length of PCVCs in neonates prior to the procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18759572183028
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http://dx.doi.org/10.1016/j.pedneo.2018.07.011DOI Listing
June 2019
29 Reads

Studying alternative approaches for placement of cuffed hemodialysis catheters in hemodialysis patients with bilateral internal jugular vein occlusion.

J Vasc Access 2019 May 24;20(3):250-259. Epub 2018 Aug 24.

Internal Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, Egypt.

Introduction: Internal jugular vein occlusion often makes necessary the use of less desirable routes as external jugular, subclavian, and femoral vein approaches in addition to inferior vena cava approaches. This a prospective cross-sectional follow-up study of the alternative approaches for placement of cuffed hemodialysis catheters in end-stage renal disease patients with bilateral internal jugular vein occlusion from the interventional nephrology point of view.

Method: The study was conducted on 134 end-stage renal disease patients who were referred for insertion of a challenging hemodialysis catheter due to bilateral internal jugular vein occlusion. Read More

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http://dx.doi.org/10.1177/1129729818794414DOI Listing
May 2019
12 Reads

[Acceso vascular en apoyo renal agudo].

Gac Med Mex 2018;154(Supp 1):S22-S30

Departamento de Nefrología, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.

El acceso vascular es el primer eslabón para la terapia de apoyo extracorpórea renal. A diferencia de la terapia de reemplazo renal para pacientes con enfermedad renal crónica donde la fístula arteriovenosa es la primera opción, seguida del catéter tunelizado, en pacientes con lesión renal aguda el acceso vascular de elección es el catéter temporal. El presente estudio constituye una revisión narrativa de resumen de los estudios que analizan la elección, colocación y cuidados del acceso vascular temporal para apoyo renal agudo. Read More

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http://gacetamedicademexico.com/files/gmm_2018_s1_022-030.pd
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http://dx.doi.org/10.24875/GMM.M18000064DOI Listing
September 2019
27 Reads

Comparison of cardiac function index derived from femoral and jugular indicator injection for transpulmonary thermodilution with the PiCCO-device: A prospective observational study.

PLoS One 2018 31;13(7):e0200740. Epub 2018 Jul 31.

Medizinische Klinik und Poliklinik II, Klinikum rechts der Isar der Technischen Universität München, Munich, Bavaria, Germany.

Introduction: Cardiac function index (CFI) is a trans-pulmonary thermodilution (TPTD)-derived estimate of systolic function. CFI is defined as the ratio of cardiac output divided by global end-diastolic volume GEDV (CFI = CO/GEDV). Several studies demonstrated that the use of femoral venous access results in a marked overestimation of GEDV, while CFI is underestimated. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200740PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6067690PMC
January 2019
12 Reads

Jugular vs femoral vein for central venous catheterization in pediatric cardiac surgery (PRECiSE): study protocol for a randomized controlled trial.

Trials 2018 Jun 25;19(1):329. Epub 2018 Jun 25.

Department of Cardiovascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milan, Italy.

Background: Placement of central venous catheters (CVCs) is essential and routine practice in the management of children with congenital heart disease. The purpose of the present protocol is to evaluate the risk for infectious complications in terms of catheter colonization, catheter line-associated bloodstream infections, and catheter-related bloodstream infections (CRBSIs), and the mechanical complications from different central venous access sites in infants and newborns undergoing cardiac surgery.

Methods: One hundred sixty patients under 1 year of age and scheduled for cardiac surgery will be included in this randomized controlled trial (RCT); patients will be randomly allocated to the jugular or femoral vein arms. Read More

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http://dx.doi.org/10.1186/s13063-018-2717-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019231PMC
June 2018
3 Reads

An unusual complication after placement of an inferior vena cava filter via right internal jugular vein access.

J Vasc Access 2019 Jan 1;20(1):102-104. Epub 2018 Jun 1.

2 Division of Pulmonary & Critical Care and Sleep Medicine, School of Medicine, Wayne State University, Detroit, MI, USA.

Introduction:: Totally implantable venous access devices are used extensively worldwide in cancer patients for administration of venotoxic agents, blood sampling, and nutrition. Their tip is usually positioned at the junction of superior vena cava and right atrium. Inferior vena cava filters are usually used for deep venous thrombosis in cases where anticoagulation is contraindicated; they can be inserted either via internal jugular or femoral access depending on patient conditions and preference. Read More

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http://dx.doi.org/10.1177/1129729818777967DOI Listing
January 2019
20 Reads

[Femoral vein transposition arteriovenous fistula for haemodialysis].

Ugeskr Laeger 2018 Jun;180(23)

An upper extremity vascular access (VA) is preferred for haemodialysis, but when the central veins are occluded or all opportunities are exhausted, a lower extremity VA is necessary. Transposition of the superficial femoral vein is a durable arteriovenous fistula and should be the first choice in patients with long expected remaining lifetime. Peripheral arterial disease and heart failure are contraindications, and careful selection of the patients is mandatory. Read More

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June 2018
11 Reads

Femoral Access for Central Venous Port System Implantation.

Cureus 2018 Mar 14;10(3):e2327. Epub 2018 Mar 14.

Thoracic Surgery, Saint-Petersburg State University.

Totally implanted venous access port (TIVAP) systems provide adequate quality of care and life, especially for oncology patients. Long-term vascular access is very important and easy to perform, but in some clinical situations, if patients have a superior caval system occlusion, femoral insertion may be the only option. We present a case of a 70-year-old colorectal adenocarcinoma patient diagnosed with subclavian vein hypoplasia. Read More

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https://www.cureus.com/articles/10610-femoral-access-for-cen
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http://dx.doi.org/10.7759/cureus.2327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951597PMC
March 2018
13 Reads

Comparison of two types of catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy: A retrospective study.

J Vasc Access 2018 Nov 27;19(6):651-657. Epub 2018 Apr 27.

1 Department of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China.

Purpose:: This study aimed to investigate the effects and complications of different types of peripherally inserted central catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy.

Methods:: A retrospective analysis of 158 patients with lung cancer undergoing implantation of a venous access through femoral vein catheterization was performed. The patients were divided into two groups by convenience sampling: the single-lumen silicone Groshong peripherally inserted central catheters with valved tip were used in patients in group A, the single-lumen power-injectable polyurethane peripherally inserted central catheters with no valve were used in patients in group B. Read More

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http://dx.doi.org/10.1177/1129729818769227DOI Listing
November 2018
15 Reads

Right Site, Wrong Route - Cannulating the Left Internal Jugular Vein.

Cureus 2018 Jan 9;10(1):e2044. Epub 2018 Jan 9.

Internal Medicine, St. Joseph Mercy Oakland Hospital.

Central venous catheters are placed in approximately five million patients annually in the US. The preferred site of insertion is one with fewer risks and easier access. Although the right internal jugular vein is preferred, on occasion, the left internal jugular may have to be accessed. Read More

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http://dx.doi.org/10.7759/cureus.2044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844666PMC
January 2018
5 Reads

Insertion rates and complications of central lines in the UK population: A pilot study.

J Intensive Care Soc 2018 Feb 21;19(1):19-25. Epub 2017 Aug 21.

Aneurin Bevan University Health Board, Royal Gwent Hospital, Newport, UK.

Background: Central venous catheters are inserted ubiquitously in critical care and have roles in drug administration, fluid management and renal replacement therapy. They are also associated with numerous complications. The true number of central venous catheters inserted per year and the proportion of them associated with complications are unknown in the UK. Read More

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http://dx.doi.org/10.1177/1751143717722914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810875PMC
February 2018
8 Reads

[Superior vena cava thrombosis or stricture secondary to implanted central venous access: Six cases of endovascular and direct surgical treatment in cancer patients].

J Med Vasc 2018 Feb 26;43(1):20-28. Epub 2017 Dec 26.

Hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.

Superior vena cava (SVC) stenosis or thrombosis is a well-known complication of central venous catheterization for endocavitary treatments, hemodialysis, or chemotherapy. In cancer patients, these SVC lesions are often symptomatic due to intimal damage and chemotherapy toxicity. We report our experience with six patients treated between 2007 and 2012 via an endovascular approach (n=5) or a direct surgical approach (n=1). Read More

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http://dx.doi.org/10.1016/j.jdmv.2017.11.001DOI Listing
February 2018
11 Reads

Equivalent success and complication rates of tunneled common femoral venous catheter placed in the interventional suite vs. at patient bedside.

Pediatr Radiol 2018 06 8;48(6):889-894. Epub 2018 Feb 8.

Department of Pediatric Radiology, Texas Children's Hospital, 6701 Fannin St., Houston, TX, 77030, USA.

Background: Femoral tunneled central line placement in the pediatric population offers an alternative means for intravenous (IV) access, but there is concern for higher complication and infection rates when placed at bedside.

Objective: To describe the complications and infection outcomes of primary femoral tunneled central venous catheter placement in the interventional radiology suite compared to the portable bedside location at a single tertiary pediatric institution.

Materials And Methods: We conducted a retrospective review comparing interventional radiology suites vs. Read More

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http://link.springer.com/10.1007/s00247-018-4090-3
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http://dx.doi.org/10.1007/s00247-018-4090-3DOI Listing
June 2018
29 Reads

Central venous catheter-related infections in patients receiving short-term hemodialysis therapy: incidence, associated factors, and microbiological aspects.

Rev Soc Bras Med Trop 2017 Nov-Dec;50(6):783-787

Unidade de Transplante Renal, Divisão de Nefrologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Introduction: Bloodstream infections are the second most common cause of death among patients on hemodialysis. This study aimed to evaluate the incidence of and risk factors associated with central venous catheter-related infections in patients undergoing hemodialysis, and to identify and characterize the type and antimicrobial susceptibility profiles of the primary microorganisms isolated during one year of follow-up.

Methods: A prospective cohort study was conducted in 2014 in a hemodialysis referral center. Read More

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http://dx.doi.org/10.1590/0037-8682-0438-2017DOI Listing
April 2018
75 Reads

Usefulness of Doppler waveform analysis before performing a complex procedure using femoral venous access.

J Clin Ultrasound 2018 Feb 21;46(2):157-159. Epub 2017 Nov 21.

Department of Cardiology, College of Medicine, Chung-Ang University, Seoul, Korea.

Ultrasonography is a well-defined and widely accepted technique in the settings of interventional procedures requiring peripheral venous access, either for the confirmation of the vein patency (with the compression test) or for guiding needle insertion. This report describes a case of unsuccessful guidewire passage through the right iliac vein in spite of successful ultrasonography-guided puncture of the femoral vein. On repeat duplex ultrasonography, the Doppler waveform showed a continuous pattern without respiratory phasicity, which was consistent with proximal venous occlusion. Read More

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http://doi.wiley.com/10.1002/jcu.22564
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http://dx.doi.org/10.1002/jcu.22564DOI Listing
February 2018
19 Reads

The feasibility and safety of PICCs accessed via the superficial femoral vein in patients with superior vena cava syndrome.

J Vasc Access 2018 Jan;19(1):34-39

Oncology Center, Renmin Hospital of Wuhan University, Wuhan - China.

Objective: To investigate the feasibility and safety of the peripherally inserted central catheters (PICCs) accessed via the superficial femoral vein in patients with superior vena cava syndrome (SVCS).

Methods: From October 2010 to December 2014, 221 cancer patients with SVCS in our center received real-time ultrasound-guidance of the superficial femoral vein inserted central catheters (FICCs) at the mid-thigh. PICC insertion via upper extremity veins had also been investigated in 2604 cancer patients without SVCS as control. Read More

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http://journals.sagepub.com/doi/10.5301/jva.5000810
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http://dx.doi.org/10.5301/jva.5000810DOI Listing
January 2018
18 Reads

Comparison of pulmonary vascular permeability index PVPI and global ejection fraction GEF derived from jugular and femoral indicator injection using the PiCCO-2 device: A prospective observational study.

PLoS One 2017 17;12(10):e0178372. Epub 2017 Oct 17.

Medizinische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München, München, Germany.

Background: Transpulmonary thermodilution (TPTD) is used to derive cardiac output CO, global end-diastolic volume GEDV and extravascular lung water EVLW. To facilitate interpretation of these data, several ratios have been developed, including pulmonary vascular permeability index (defined as EVLW/(0.25*GEDV)) and global ejection fraction ((4*stroke volume)/GEDV). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178372PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644983PMC
October 2017
18 Reads

A New Technique for Femoral Venous Access in Infants Using Arterial Injection Venous Return Guidance.

Ann Vasc Dis 2017 Mar 31;10(1):17-21. Epub 2017 Mar 31.

Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

: Although venography guidance is helpful for central venous catheter placement, it is sometimes difficult to place a peripheral intravenous cannula for enhancement. We designed a new technique for establishing femoral venous access using venography guidance in the return phase of peripheral arteriography. This new technique was named arterial injection venous return guidance. Read More

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http://dx.doi.org/10.3400/avd.oa.16-00058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579799PMC
March 2017
12 Reads

Understanding patient preferences for femoral central venous catheterization among patients with sickle cell disease.

J Vasc Access 2018 03 19;19(2):199-200. Epub 2018 Feb 19.

Division of Interventional Radiology and Image Guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA - USA.

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http://dx.doi.org/10.5301/jva.5000794DOI Listing
March 2018
5 Reads