Femoral Vein Catheterization
Femoral Vein Catheterization - Related Videos
10:45
Central Venous Catheter Insertion: Femoral Vein
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2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations, including vascular access, vasopressor and caustic medication delivery, central venous pressure monitoring, volume resuscitation, total parental nutrition, hemodialysis, and frequent phlebotomy. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the...
13:26
Basic Surgical Techniques in the Göttingen Minipig: Intubation, Bladder Catheterization, Femoral Vessel Catheterization, and Transcardial Perfusion
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Cited by 46 •
2011
The use of domestic and miniature pigs in science has increased significantly in recent years. By demonstrating how to perform intubation, transurethral bladder catheterization, femoral artery and vein catheterization, as well as transcardial perfusion, we aim to further increase the value of Göttingen minipigs in biomedical research.
09:38
Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
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Cited by 53 •
2012
Chronic catheterization of blood vessels in the rat is often required for administration of substances, obtain blood sample over a period of time or for direct conscious blood pressure measurements. Femoral arterial catheterization of the rat and corresponding measurements of blood pressure in the conscious animal will be demonstrated.
02:50
Seldinger Technique Based Pulmonary Artery Catheterization: A Procedure to Insert Pulmonary Artery Catheter Through the Jugular Vein in a Porcine Model
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2025
In this video, we have demonstrated a step-by-step procedure of pulmonary artery catheterization by inserting an intravascular catheter through jugular vein and reach the pulmonary artery to measure the cardiac chamber pressure in porcine model.
17:15
Catheterization of Intestinal Loops in Ruminants
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Cited by 4 •
2009
We describe a novel surgical method for catheterizing 'intestinal loops' within the ileum of sheep. Once animals have recovered from surgery and have cleared antibiotics and analgesics, multiple treatments can be deposited directly in loops via the catheters.
FAQs
Ultrasound guidance is important because it lets clinicians identify the femoral vein before needle entry and select a puncture site below the inguinal ligament. This anatomic localization supports controlled access, while knowledge of nearby femoral structures remains essential because arterial puncture is a recognized complication. The approach therefore combines imaging with detailed anatomy rather than relying on landmarks alone.
The Seldinger technique separates vessel entry from catheter placement. After the needle enters the vein, a guidewire is advanced, the tract is dilated, and the catheter is positioned over the established pathway. This sequence creates a controlled route into the vessel and explains why guidewire handling, tract dilation, and final catheter positioning are central steps in the procedure.
Sterile technique is a core safety measure because the catheter remains an access route into the venous system. Inadequate attention to sterility can increase concern about infection risk. Safe practice also requires awareness of bleeding, arterial puncture, and thrombosis, allowing clinicians to weigh the benefits of reliable access against recognized complications.
An ultrasound-guided workflow begins with identifying the femoral vein, followed by needle insertion below the inguinal ligament. The clinician then advances a guidewire, dilates the tract, and positions the catheter using the Seldinger technique. Maintaining sterile technique throughout and applying knowledge of femoral anatomy are essential procedural requirements, not optional additions to the sequence.
When peripheral venous access is difficult or treatment must begin rapidly, femoral access can provide a practical route for central venous therapy. A placed catheter may deliver medications and fluids, so the technique can support urgent treatment when peripheral access does not meet the clinical need. Its use still requires attention to the procedure’s recognized risks.
Beyond drug and fluid delivery, the catheter can support hemodynamic monitoring and, in selected patients, provide access for renal replacement therapy. These applications broaden the procedure’s clinical role: the same access route may be used for treatment delivery, physiologic assessment, or renal support. Selection depends on the patient’s need and requires attention to bleeding, infection, and thrombosis.