Percutaneous femoral venous catheterizations: A prospective study of complications

Joseph P. Stenzel*, Thomas P. Green, Bradley P. Fuhrman, Patricla E. Carlson, Randal P. Marchessault

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

94 Scopus citations

Abstract

In a prospective, 45-month study, we compared the complication rates of percutaneously placed femoral and nonfemoral central venous catheters in critically ill pediatric patients. Forty-one percent of the 395 central venous catheters placed during this interval were femoral. Noninfectious complications were recognized for 2.5% of femoral catheters and 2.1% of nonfemoral catheters. Only three complications occurred with catheter insertion, all during nonfemoral attempts. Systemic infections that were possibly attributable to the central venous catheter were found in 3.7% of patients with femoral catheters and 7.3% of those with nonfemoral catheters. Femoral venous catheterization offers several practical advantages for central access over other sites. The low incidence of complications documented in this study suggests that the femoral vein is the preferred site in most critically ill children when central venous catheterization is indicated.

Original languageEnglish (US)
Pages (from-to)411-415
Number of pages5
JournalThe Journal of pediatrics
Volume114
Issue number3
DOIs
StatePublished - Mar 1989

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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