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Mid-Thigh Femoral Central Lines

Small Bore Mid-Thigh Femoral Central Lines can reduce the risks of traditional femoral central lines in the groin, when clinically appropriate. This page describes situations in which we believe the Small Bore Mid-Thigh Femoral Central Venous Catheter Line can be considered and where placement is optimal.

Mid-Thigh Femoral Lines

Mid-Thigh Femoral Lines are excellent alternatives when other central lines such as PICCs and Small Bore Internal Jugular Central Venous Catheter Lines are unavailable. While traditional femoral lines are typically avoided due to fear of infection and other complications, when clinically indicated, the small bore mid-thigh femoral line can remove many of the risks of traditional placement.

Small Bore Femoral Central Venous Catheter Line

Mid-Thigh Femoral Line Illustration

Mid-Thigh Femoral Central Lines – Use Cases

Mid-Thigh Femoral Central Line Use Cases include (a) when the Axillary and Internal Jugular Central Lines are unavailable, (b) when the patient is contracted with limited range of motion or conditions such as morbid obesity, (c) when the patient has upper extremity trauma, (d) when the patient has a newly placed cardiac pacer, and (e) when the patient has superior vena cava syndrome (SVCS), a block or pinching of the superior vena cava (a major vein that carries blood to the heart). Patients with SVCS present challenges as central lines can worsen diagnosis often leaving the Midline and Mid-Thigh Femoral Line at the main options. Mid-Thigh Femoral Lines enable similar utility and therapy delivery as other central catheter lines, making them an exceptional alternative for vascular access – provided your vascular access clinician has the skill set and training required.

Vascular Wellness – Mid-Thigh Femoral Line

When clinically indicated, Vascular Wellness clinicians will insert a Femoral Line into the femoral vein, leading to inferior vena cava. This is not a PICC as it is not peripherally inserted. Vascular Access through a Femoral Line requires additional skill, care, and consideration not found by a typical PICC nurse or a company offering PICC Services. Vascular Wellness clinicians create the access site in the middle of the thigh, avoiding the inguinal fold which can be a source of infection. With our experience and skills, Vascular Wellness has and continues to place small bore central catheter lines (including Femoral Lines) at similar very high success rates and zero insertion related infections as we do with PICCs. Vascular Wellness is a comprehensive Vascular Access Solution with the tools and training to provide the right Vascular Access at the Right Time, the First Time.

For more about our Small Bore Central Venous Catheters read the article HERE…

Mid-Thigh Femoral Line illustration from Vascular Wellness, the vascular access experts

Femoral Catheter Site in the mid-thigh avoids the Inguinal area to mitigate Infection Risk


As Vascular Access Specialists, Vascular Wellness nurse clinicians are Vascular Access Board Certified (VA-BC), insured, skill-verified, and salaried W2 employees.  Vascular Wellness requires semi-annual skill verification ensuring adherence to proprietary policies, procedures, competencies, and best practices.  We focus on holistic and comprehensive care and do not follow the pay per procedure model plus performance bonuses used by others that may create some adverse incentives for speed at the bedside versus holistic medical care helping to ensure the placement of the right line at the right time, the first time.  In fact, Vascular Wellness employs a Director of Research and Development who not only helps us stay up to date on best practices but helps us continue to innovate and improve upon Vascular Access Services.

Vascular access specialist services Femoral line

Vascular Access Specialists practice holistic medical care, meaning talking to the patient, addressing questions and fears, and performing a comprehensive medical review.  Prior to delivering any Vascular Access procedure, the Vascular Wellness clinician reviews the patient’s medical record, including history and lab reports, and independently verifies and confirms the doctor’s order.  If our clinician has questions or disagrees with the prescribing doctor, the clinician will consult with the doctor. Our Vascular Access Specialists have earned the trust of many doctors, and such doctors will defer to the clinician’s recommendation by ordering a “consult” as compared to a specific line.  Patient safety and vein preservation are critical – which is why a holistic, comprehensive evaluation and Advanced Lines are significant.  Other companies claiming to be Vascular Access Specialists may not follow this same approach frustrating medical doctors and nurses primarily because those 1099 Contractor PICC nurses do not place Advanced Lines (i.e, no options other than PIVs, Midlines, and PICCs) and get paid on a pay per procedure model.

In states where nurses are permitted, as Vascular Access Specialists, Vascular Wellness clinicians can provide immediate X-Ray Clearance of lines when tip confirmation is not available or appropriate and X-Ray confirmation must be used. This saves money, time, and coordination with a Radiologist or other doctor and enables the lines to be used immediately to avoid delaying treatment. Quicker therapy leads to better outcomes.

As Vascular Access Specialists, Vascular Wellness uses top rated and hospital preferred supplies from Becton Dickinson (BD), formerly Bard. Superior supplies and services help mitigate the potential for poor outcomes such as bad placement, clotting, infections, and other adverse events.  Other companies that are not Vascular Access Specialists may opt for inferior supplies and older equipment.

Want a comprehensive Vascular Access Service?

We offer timely, innovative, and advanced vascular access services at the bedside, with full administrative support, from skilled employees who care.

Want more than just a PICC Service or PICC Team?
Email us below or call 877-284-4435.
We are Vascular Access Specialists and here to help and answer your questions.

Let us be part of your trusted Healthcare Team.

Vascular Wellness provides comprehensive, quality, timely, and innovative vascular access services, including standard and advanced line placement, pediatrics, program management, education, training, and infection control and prevention to all healthcare settings such as Tertiary Hospitals, Community Hospitals, Long-Term Acute Care Hospitals, Hospital at the Home Programs, Skilled Nursing Facilities, Surgical and Outpatient Centers, Hospice, and At-Home care. We support a 98+% Success Rate with 0% Insertion-Related Infection Rate across all lines, with an average response time of 3 hours. We help our clients improve patient outcomes, enable faster therapy, reduce costs, infections, and readmissions, decrease hospital length of stay, and reduce transportation expenses.

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