Accidental cannulation of the left ascending lumbar vein through femoral access-still often unrecognized
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Updated: May 22, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
Published on: January 13, 2026
Ivan Göcze1, Rene Müller-Wille, Christian Stroszczynski
1Department of Surgery, University Medical Center Regensburg, Germany. ivan.goecze@ukr.de
Abstract:
The femoral vein approach is considered to be a quick and safe route for venous access. However, severe complications can occur with this access because of misplacement. Our report describes the malposition of a large-bore dialysis catheter into the left ascending lumbar vein, which led to less effective hemodiafiltration. Clinicians should be aware of possible misplacement while inserting a femoral vein catheter, especially on the left side. In some cases, the correct position in the inferior vena cava needs confirmation before using the catheter.
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