Further exploration of the location of common femoral vein by computed tomography reformation: For catheterization under fluoroscopy guidance

Cheng Hong Lin, Ying Chi Tseng, Chi Jen Chen, Ying Sheng Kuo, Hui-Ling Hsu

Research output: Contribution to journalArticle

Abstract

Purpose: Localization of the femoral vein traditionally relies on palpation of femoral arterial pulsation. For establishing venous access under fluoroscopy guidance, we evaluated the relationship between common femoral veins (CFVs) and bony structures. Methods: Sixty patients with abdominal computed tomography scans between October 2009 and May2010 were selected randomly for inclusion in the study. We used the RaySum reconstruction technique to display the bony landmark from the iliac crest to the upper femur and the course of bilateral CFVs. Results: Between the superior and middle femoral head lines, the bilateral CFV tended to locate between the inner and outer cortex lines of teardrop (68.3% on right side and 65.0% on left side). The CFV is located more laterally among people who are older than 50 years with statistical significance. Conclusion: Bony structures provide reliable information for venous access of CFVs under fluoroscopy guidance. The course of bilateral CFVs is more laterally located among elder patients with statistical significance.

Original languageEnglish
Pages (from-to)115-117
Number of pages3
JournalJournal of Experimental and Clinical Medicine(Taiwan)
Volume5
Issue number3
DOIs
Publication statusPublished - 2013

Fingerprint

Femoral Vein
Fluoroscopy
Catheterization
Tomography
Thigh
Palpation
Femur

Keywords

  • Computed tomography
  • Femoral vein
  • RaySum reconstruction technique
  • Seldinger method

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Further exploration of the location of common femoral vein by computed tomography reformation: For catheterization under fluoroscopy guidance",
abstract = "Purpose: Localization of the femoral vein traditionally relies on palpation of femoral arterial pulsation. For establishing venous access under fluoroscopy guidance, we evaluated the relationship between common femoral veins (CFVs) and bony structures. Methods: Sixty patients with abdominal computed tomography scans between October 2009 and May2010 were selected randomly for inclusion in the study. We used the RaySum reconstruction technique to display the bony landmark from the iliac crest to the upper femur and the course of bilateral CFVs. Results: Between the superior and middle femoral head lines, the bilateral CFV tended to locate between the inner and outer cortex lines of teardrop (68.3{\%} on right side and 65.0{\%} on left side). The CFV is located more laterally among people who are older than 50 years with statistical significance. Conclusion: Bony structures provide reliable information for venous access of CFVs under fluoroscopy guidance. The course of bilateral CFVs is more laterally located among elder patients with statistical significance.",
keywords = "Computed tomography, Femoral vein, RaySum reconstruction technique, Seldinger method",
author = "Lin, {Cheng Hong} and Tseng, {Ying Chi} and Chen, {Chi Jen} and Kuo, {Ying Sheng} and Hui-Ling Hsu",
year = "2013",
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language = "English",
volume = "5",
pages = "115--117",
journal = "Journal of Experimental and Clinical Medicine",
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TY - JOUR

T1 - Further exploration of the location of common femoral vein by computed tomography reformation

T2 - For catheterization under fluoroscopy guidance

AU - Lin, Cheng Hong

AU - Tseng, Ying Chi

AU - Chen, Chi Jen

AU - Kuo, Ying Sheng

AU - Hsu, Hui-Ling

PY - 2013

Y1 - 2013

N2 - Purpose: Localization of the femoral vein traditionally relies on palpation of femoral arterial pulsation. For establishing venous access under fluoroscopy guidance, we evaluated the relationship between common femoral veins (CFVs) and bony structures. Methods: Sixty patients with abdominal computed tomography scans between October 2009 and May2010 were selected randomly for inclusion in the study. We used the RaySum reconstruction technique to display the bony landmark from the iliac crest to the upper femur and the course of bilateral CFVs. Results: Between the superior and middle femoral head lines, the bilateral CFV tended to locate between the inner and outer cortex lines of teardrop (68.3% on right side and 65.0% on left side). The CFV is located more laterally among people who are older than 50 years with statistical significance. Conclusion: Bony structures provide reliable information for venous access of CFVs under fluoroscopy guidance. The course of bilateral CFVs is more laterally located among elder patients with statistical significance.

AB - Purpose: Localization of the femoral vein traditionally relies on palpation of femoral arterial pulsation. For establishing venous access under fluoroscopy guidance, we evaluated the relationship between common femoral veins (CFVs) and bony structures. Methods: Sixty patients with abdominal computed tomography scans between October 2009 and May2010 were selected randomly for inclusion in the study. We used the RaySum reconstruction technique to display the bony landmark from the iliac crest to the upper femur and the course of bilateral CFVs. Results: Between the superior and middle femoral head lines, the bilateral CFV tended to locate between the inner and outer cortex lines of teardrop (68.3% on right side and 65.0% on left side). The CFV is located more laterally among people who are older than 50 years with statistical significance. Conclusion: Bony structures provide reliable information for venous access of CFVs under fluoroscopy guidance. The course of bilateral CFVs is more laterally located among elder patients with statistical significance.

KW - Computed tomography

KW - Femoral vein

KW - RaySum reconstruction technique

KW - Seldinger method

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