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.


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 bi-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 Specialists from Vascular Wellness

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, formerly Bard (BD). 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.

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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