Indications for a femoral venous catheter placement

  • No peripheral access?
  • Emergency venous access
  • CVP/ScVO2 monitoring
  • Central Parenteral Nutrition 
  • Hemodialysis access 
  • Infusion of medications
  • Access for pulmonary artery catheter or transvenous pacemaker

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Contraindications for femoral venous catheter placement

  • Patient refusal
  • Deep venous thrombosis of vein
  • Overlying burn or cellulitis
  • Thrombocytopenia with platelets <20,000
  • Anticoagulation is a relative contraindication for accessing a compressible vein and an absolute contraindication for a non-compressible vein (subclavian vein)
  • DIC and a non-compressible vein
  • Inability to lie flat for IJ and Subclavian lines

Complications of a femoral venous catheter placement

  • Central line-associated Bloodstream Infection (CLABSI) (femoral>IJ>subclavian)
  • Deep venous thrombosis (femoral > IJ = subclavian)
  • Pneumothorax (subclavian > IJ)
  • Hemothorax (subclavian > IJ)
  • Hematoma (femoral > subclavian = IJ)
  • Arterial injury or arterial cannulation (femoral > IJ > subclavian)
  • Bleeding (femoral > IJ > subclavian)
  • Air embolus (IJ = subclavian)
  • Dysrhythmias (IJ > subclavian)
  • Lost guidewire (all sites equal)


Central line-associated Bloodstream Infection (CLABSI)

  • >250,000 cases of CLABSI  per year in United States
  • Cost per CLABSI is >$35,000
  • Increased Length of Stay
  • Increased Mortality



  • Wash hands thoroughly before placement of central lines and before accessing catheter ports
  • Antimicrobial-impregnated catheters 


Equipment for femoral line placement