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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
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Preferential central venous catheter access with concurrent IVC filter use
Megan Ladd1, Dominic Lullo1, Shabir Abadin1
1AMITA Health, General Surgery, Chicago, IL, USA.
The Journal of Vascular Access
|May 11, 2021
Summary
Concurrent use of inferior vena cava (IVC) filters and central venous catheters (CVCs) is increasing. Femoral vein CVC placement in patients with IVC filters may reduce filter embolization risks.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Background:
- Increasing incidence of concurrent inferior vena cava (IVC) filter and central venous catheter (CVC) use in aging populations.
- Potential risk of IVC filter embolization, often associated with J-tipped guidewires during CVC placement.
Purpose of the Study:
- To describe a case of successful CVC placement in the femoral vein in a patient with an existing IVC filter.
- To highlight the benefits of femoral vein access for CVC placement in patients with IVC filters.
Main Methods:
- Case report detailing the procedure of placing a CVC via the femoral vein in a patient with an IVC filter.
- Review of existing guidelines and hypothesis regarding IVC filter embolization rates at different access sites.
Main Results:
- Successful placement of a CVC in the femoral vein was achieved without complications.
- Hypothesized that the conical shape of IVC filters may contribute to higher embolization rates at internal jugular and subclavian vein access sites.
Conclusions:
- Femoral vein access for CVC placement is a viable and potentially safer option in patients with IVC filters.
- Further research is warranted to investigate IVC filter embolization rates based on venous access site and filter geometry.
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