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Saturday, July 23, 2016

Q: What is the ideal position for the femoral venous catheter tip?

Answer:  Femoral central line can be used immediately after insertion, given all ports provide good blood return. But ideally, distal tip of  catheter should generally be located above the confluence of the iliac veins. More importantly, if it is way far advanced proximally, like into a renal vein, as suspected from abdominal X-ray, it should be repositioned. Commonly, femoral central line travels to contralateral iliac vein - either it can be replaced over a guidewire or can stay there, if only short term use is anticipated.

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