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Correspondence
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Volume 359:1294-1295 September 18, 2008 Number 12
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Femoral Venous Catheterization

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 by Tsui, J. Y.
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To the Editor: In their article and video on the placement of a femoral venous catheter, Tsui et al. (June 26 issue)1 describe several procedural complications. One rare but potentially lethal complication is not mentioned, however. A guide wire and venous catheter, introduced through the left femoral vein and advanced into the left common iliac vein, may subsequently be advanced into the left ascending lumbar vein instead of the inferior vena cava. When unrecognized, this complication has been associated with a reported rate of death of 50%.2 This malpositioning can be seen on a plain anteroposterior abdominal radiograph as left . . . [Full Text of this Article]


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