Femoral Central Lines

Small Bore Femoral Central Lines, while sometimes overlooked or deemed too risky, can be used to enable Vascular Access when clinically appropriate. This page describes situations in which we believe the Small Bore Femoral Central Venous Catheter Line can be considered and where placement is optimal.

Femoral Central Lines

Femoral Central Lines are excellent alternatives when other central lines such as PICCs and Small Bore Internal Jugular Central Venous Catheter Lines are unavailable. Vascular access clinicians and facilities typically avoid Small Bore Femoral Central Lines for fear of infection and other complications. Vascular Wellness disagrees and follows a different approach enabling our clinicians to obtain vascular access for patients in a less intrusive and more cost effective manner when other lines are not available options.

Small Bore Femoral Central Venous Catheter Line

Femoral Central Lines Illustration

Femoral Central Lines – Use Cases

Femoral Central Line Use Cases include (a) when the Axillary and Internal Jugular Central Lines are unavailable, (b) when the patient is contracted and has limited mobility such as obesity or when wrists and feet are curled up, (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 cave (a major vein that carries blood to the heart). Patients with SVCS present challenges as central lines will not work due to occlusion, leaving the Midline and Femoral Line at the main options. Femoral Lines enable similar flow rates and CVP monitoring (blood pressure monitoring) 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 – Femoral Line

When clinically indicated, Vascular Wellness clinicians will insert a Femoral Line into the femoral vein, an 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…

Femoral Catheter Site should avoid the Inguinal area to mitigate Infection Risk

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

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Vascular Wellnesssm provides clinical vascular access nursing services at the bedside across the Southeast to a diverse client base including Tertiary Hospitals, Community Hospitals, Long Term Acute Care Hospitals, Skilled Nursing Facilities, Surgical and Outpatient Centers,  Hospice, and At-Home care.

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