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Updated: Jul 5, 2026
09:38
Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
Published on: January 24, 2012
[Femoral-venous catheterization: a delayed perforation]
1Département d'anesthésie-réanimation, hôpital d'instruction des armées Laveran, boulevard Laveran, 13013 Marseille, France. celinefgil@hotmail.com
Annales Francaises D'Anesthesie Et De Reanimation
|May 10, 2008
Summary
Vascular injury from central venous catheters is rare. A case of inferior vena cava perforation after femoral vein catheterization caused internal infusion and pain, questioning current recommendations.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Central venous catheterization is a common procedure, but late vascular complications are infrequent.
- Literature primarily documents injuries in jugular or subclavian vein catheterization sites, with risks associated with larger and left-sided catheters.
Observation:
- A 72-year-old patient developed symptoms nine days after femoral vein catheterization for parenteral nutrition.
- The patient presented with abdominal and pelvic pain due to perforation of the inferior vena cava.
Findings:
- The femoral vein catheterization led to an inferior vena cava perforation.
- This perforation resulted in infusion into the peritoneal and retroperitoneal cavities.
Implications:
- This case highlights a rare but serious complication of femoral vein catheterization.
- The findings suggest a need to re-evaluate current recommendations for femoral catheterization procedures.
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Clinical Manifestations: