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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.

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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.

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Cathetersdialysis accessintensive caretechniques and procedures

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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.