ArticleJournal of atrial fibrillation
Predictors of Successful Ultrasound Guided Femoral Vein Cannulation in Electrophysiological Procedures.
Article in Journal of atrial fibrillation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Ultrasound-guided femoral venous access decreases vascular complications in catheter ablation procedures.Scientific reports · 2025Article
- Cryoballoon Pulmonary Vein Isolation in Obese Patients with Atrial Fibrillation Compared to Non-Obese Counterparts: A Meta-Analysis.Biomedicines · 2025Review
- The impact of ultrasound-guided vascular access for catheter ablation of left atrial arrhythmias in a high-volume centre.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Article
- Development of a Modular Tissue Phantom for Evaluating Vascular Access Devices.Bioengineering (Basel, Switzerland) · 2022Article
- Article
- An In vitro System to Gauge the Thrombolytic Efficacy of Histotripsy and a Lytic Drug.Journal of visualized experiments : JoVE · 2021Article
- Thromboembolic Events Following Atrial Fibrillation Cardioversion and Ablation: What's the Culprit?Medicina (Kaunas, Lithuania) · 2019Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVascular complications are frequently reported after electrophysiological (EP) procedures. Ultrasound (US) guidance during femoral vein cannulation has shown to reduce vascular damage related to unsuccessful attempts.The aim of our study is to define, under ultrasound guidance,anatomical and technical predictors of successful femoral vein cannulation in a cohort of patients undergoing EP. MATERIAL AND
methodsFrom December 2015 to January 2018, 192 patients (mean age 63,1±15,9 years, M:F=118:74) undergoing EP were enrolled in the study. US-guided approach to femoral vessels cannulation was used in all subjects by four untrained operators. Femoral vein and artery depths and diameters were measured in all patients. Unsuccessful attempts (UA) and time to successful cannulation (TSC) were also calculated.
resultsVein and artery depths correlated with body weight (r=0.38 and 0.39, p=0.00), body mass index (r=0.53 and 0.50, p=0.00), and body surface area (r=0.25 and 0.28, p=0.00). Interestingly, the number of UA)positively correlated with vein depth (r=0.23, p=0.01 for the right side and r=0.33, p=0.00 for the left side). Linear regression analysis showed that both vein depth (ß=0.42, p=0.001) andoperator training(ß= -0.75,p=0.00)were independently associated with UA.
conclusionAnthropometric features, namely BMI and BSA, may provide information about femoral vein/artery anatomy in patients undergoing EP procedures. Patients with high BMI have deeper and larger veins, however only vein depth is a determinant of successful cannulation. Numbers of UA and TSC significantly decrease with operators training.
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