ArticleThe ultrasound journal2023
Femoral vein pulsatility: a simple tool for venous congestion assessment.
Article in The ultrasound journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07438015 (VEXUS-REA), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
VEXUS-REA : Evaluation of Ultrasound Parameters of Venous Congestion in Patients in a Medical Intensive Care Unit
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of point-of-care ultrasound in the evaluation and management of hyponatremia: a systematic review.Internal and emergency medicine · 2026Pooled it
- Common femoral vein Doppler as an adjunct for serial assessment of right ventricular dysfunction after lung transplantation.JHLT open · 2026Article
- Effects of Endovenous Radiofrequency Ablation on Right Ventricular Functions and Pulmonary Hemodynamics in Superficial Venous Insufficiency.Journal of cardiovascular development and disease · 2026Article
- Extended venous excess ultrasound: A promising addition to point-of-care ultrasound-based venous congestion assessment.World journal of cardiology · 2026Review
- Femoral vein Doppler ultrasound for assessing venous congestion and right heart function: a scoping review.Intensive care medicine experimental · 2026Review
- Fluid tolerance in septic shock: Femoral vein pulsatility versus VExUS score in a cross-sectional study.The Southern African journal of critical care : the official journal of the Critical Care Society · 2026Article
- Ultrasound indicators of organ venous congestion: a narrative review.Annals of intensive care · 2025Review
- Assessing Venous Congestion in Acute and Chronic Heart Failure: A Review of Splanchnic, Cardiac and Pulmonary Ultrasound: Part 1: Conventional B-Mode, Colordoppler, and Vexus Protocol.Journal of clinical medicine · 2025Review
- Current appraisal of venous excess ultrasound (VExUS) and its applications in the treatment of cardiovascular disease.Future cardiology · 2025Review
- Point of View: A Holistic Four-Interface Conceptual Model for Personalizing Shock Resuscitation.Journal of personalized medicine · 2025Review
- Contemporary Perspectives on Congestion in Heart Failure: Bridging Classic Signs with Evolving Diagnostic and Therapeutic Strategies.Diagnostics (Basel, Switzerland) · 2025Review
- Prevalence of abnormal common femoral vein pulsatility on Doppler ultrasound in patients undergoing cardiac surgery and its association with adverse events: a prospective cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Observational
- VExUS Protocol Along Cardiorenal Syndrome: An Updated Review.Journal of clinical medicine · 2025Review
- Article
- Femoral Vein Doppler for Guiding Ultrafiltration in End-Stage Renal Disease: A Novel Addition to Bedside Ultrasound.CASE (Philadelphia, Pa.) · 2024Article
- Optimization of kidney function in cardiac surgery patients with intra-abdominal hypertension: expert opinion.Perioperative medicine (London, England) · 2024Review
- Point-of-care ultrasonography spotlight: Could venous excess ultrasound serve as a shared language for internists and intensivists?World journal of critical care medicine · 2024Review
- Point-of-care ultrasonography in cirrhosis-related acute kidney injury: How I do it.World journal of critical care medicine · 2024Review
- Prospective Study of Ultrasound Markers of Organ Congestion in Critically Ill Patients With Acute Kidney Injury.Kidney international reports · 2024Article
- Inhaled NO at a crossroads in cardiac surgery: current need to improve mechanistic understanding, clinical trial design and scientific evidence.Frontiers in cardiovascular medicine · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemoral vein Doppler (FVD) is simpler than the VExUS score which is a multimodal scoring system based on combination of IVC diameter, hepatic venous Doppler, portal vein pulsatility and renal vein Doppler, may be useful in assessing right ventricular overload and signs of venous congestion. There is limited data on the relationship between FVD and VExUS score.
resultsAdult post-cardiac surgery patients were assessed for venous congestion using the VExUS score and FVD. Agreement between VExUS and FVD was studied using Kappa test, sensitivity, specificity, PPV and NPV for VExUS and FVD was calculated keeping CVP as gold standard. In total, 107 patients were enrolled, with a mean age of 55.67 ± 12.76. The accuracy of VExUS and FVD for detecting venous congestion was 80.37 (95% CI of 71.5 to 87.4) and 74.7 (95% CI of 65.4 to 82.6), respectively. The level of agreement between FVD and VExUS was moderate (Kappa value of 0.62, P < 0.001) while the agreement between FVD and CVP was weak (Kappa value of 0.49, P < 0.001).
conclusionFVD has good accuracy for detecting venous congestion and shows moderate agreement with VExUS grading. With potentially easier physical accessibility and a shorter learning curve for novices, it may be a simple and valuable tool for assessing venous congestion.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.