{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:46:23Z","timestamp":1776451583504,"version":"3.51.2"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Objective\u2003This study aimed to assess the applicability of the insertion of small diameter catheters through the femoral vein in extremely low-birth-weight (ELBW) infants.<\/jats:p><jats:p>Study Design\u2003All femoral small diameter catheters (Silastic or femoral arterial catheter [FAC]) inserted in ELBW infants in a tertiary level neonatal intensive care unit were retrospectively reviewed. Success rate, dwelling time, and percutaneously inserted central venous catheter\u2013related complications were recorded.<\/jats:p><jats:p>Results\u2003Thirteen small diameter catheters were inserted in seven ELBW infants. Mean gestational age at birth was 25+3\u2009weeks (standard deviation [SD]\u2009\u00b1\u20092.12) and mean birth weight was 686\u2009g (SD\u2009\u00b1\u2009204.9). Mean weight at the first time of insertion was 1,044\u2009g (SD\u2009\u00b1\u2009376.3). In two occasions, a FAC was used instead of a Silastic. In most cases (11\/13, 84.6%), the patient was intubated prior to the procedure. The mean dwelling time was 16.7 days (SD\u2009\u00b1\u20099.8). Most of the inserted small diameter catheters were removed electively (8\/12, 66.7%), except for one episode of clinical sepsis from coagulase-negative Staphylococcus and three cases of accidental line extravasation. No other complications were reported. The success rate was 92.3%.<\/jats:p><jats:p>Conclusion\u2003Femoral venous catheterization using small diameter catheters in ELBW infants may be promising when other routes have been exhausted. Our results support that it is a feasible technique that can be performed at the bedside with successful results when conducted by experienced personnel.<\/jats:p>","DOI":"10.1055\/s-0039-1693718","type":"journal-article","created":{"date-parts":[[2019,8,9]],"date-time":"2019-08-09T22:52:00Z","timestamp":1565391120000},"page":"1432-1437","source":"Crossref","is-referenced-by-count":3,"title":["Percutaneous Inserted Venous Catheter via Femoral Vein in Extremely Low-Birth-Weight Infants: A Single-Center Experience"],"prefix":"10.1055","volume":"37","author":[{"given":"Elena","family":"Berg\u00f3n-Send\u00edn","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Biomedical Research Institute i\u2009+\u200912, Hospital 12 de Octubre, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3386-9936","authenticated-orcid":false,"given":"Mar\u00eda","family":"Soriano-Ramos","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Dolores","family":"M\u00e9ndez-Mar\u00edn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia, Hospital 12 de Octubre, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica","family":"De Miguel-Moya","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia, Hospital 12 de Octubre, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Fontiveros-Escalona","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Biomedical Research Institute i\u2009+\u200912, Hospital 12 de Octubre, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Diezma-Godino","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Biomedical Research Institute i\u2009+\u200912, Hospital 12 de Octubre, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen Rosa","family":"Pall\u00e1s-Alonso","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Biomedical Research Institute i\u2009+\u200912, Hospital 12 de Octubre, Madrid, Spain"},{"name":"SAMID Network (Spanish Collaborative Maternal and Child Health Research Network), Complutense University of Madrid, Research Institute i\u2009+\u200912 Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Teresa","family":"Moral-Pumarega","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Biomedical Research Institute i\u2009+\u200912, Hospital 12 de Octubre, Madrid, Spain"},{"name":"SAMID Network (Spanish Collaborative Maternal and Child Health Research Network), Complutense University of Madrid, Research Institute i\u2009+\u200912 Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,8,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"e7976","DOI":"10.1136\/bmj.e7976","article-title":"Short term outcomes after extreme preterm birth in England: comparison of two birth cohorts in 1995 and 2006 (the EPICure studies)","volume":"345","author":"K L Costeloe","year":"2012","journal-title":"BMJ"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1086\/658335","article-title":"Complications associated with 2 different types of percutaneously inserted central venous catheters in very low birth weight infants","volume":"32","author":"M H Tsai","year":"2011","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1097\/INF.0b013e3181aa3a29","article-title":"Complication rates with central venous catheters inserted at femoral and non-femoral sites in very low birth weight infants","volume":"28","author":"M H Tsai","year":"2009","journal-title":"Pediatr Infect Dis J"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"F119","DOI":"10.1136\/fn.85.2.F119","article-title":"Percutaneous femoral arterial and venous catheterisation during neonatal intensive care","volume":"85","author":"S P Wardle","year":"2001","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"ref5","first-page":"129","article-title":"Inferior vena cava catheterization in the neonate by the percutaneous femoral vein method","volume":"16","author":"P R Serrao","year":"1996","journal-title":"J Perinatol"},{"issue":"03","key":"ref6","first-page":"1","article-title":"Central venous catheters in children and neonates (part 3) - access via the femoral vein","volume":"10","author":"U Trieschmann","year":"2008","journal-title":"Images Paediatr Cardiol"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/j.1442-200X.2007.02407.x","article-title":"Complications of central venous catheterization in critically ill children","volume":"49","author":"B Karapinar","year":"2007","journal-title":"Pediatr Int"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1097\/00000542-200109000-00015","article-title":"Clinical experience of percutaneous femoral venous catheterization in critically ill preterm infants less than 1,000 grams","volume":"95","author":"K B Chen","year":"2001","journal-title":"Anesthesiology"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/000992289703600601","article-title":"Femoral vascular catheterization in critically ill infants and children","volume":"36","author":"S T Venkataraman","year":"1997","journal-title":"Clin Pediatr (Phila)"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1542\/peds.77.6.842","article-title":"Central venous catheter insertion by femoral vein: safety and effectiveness for the pediatric patient","volume":"77","author":"R K Kanter","year":"1986","journal-title":"Pediatrics"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1542\/peds.70.3.484","article-title":"Percutaneous insertion of Silastic central venous catheters in newborn infants","volume":"70","author":"J L Dolcourt","year":"1982","journal-title":"Pediatrics"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00431-017-2854-7","article-title":"Dwell times and risk of non-elective removal of 1-French peripherally inserted central catheters according to catheter tip position in very preterm infants","volume":"176","author":"D M Erhard","year":"2017","journal-title":"Eur J Pediatr"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.jpedsurg.2015.02.001","article-title":"Improving central line infection rates in the neonatal intensive care unit: Effect of hospital location, site of insertion, and implementation of catheter-associated bloodstream infection protocols","volume":"50","author":"J J Freeman","year":"2015","journal-title":"J Pediatr Surg"},{"issue":"S 01","key":"ref14","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.ajic.2011.01.003","article-title":"Guidelines for the prevention of intravascular catheter-related infections","volume":"39","author":"N P O'Grady","year":"2011","journal-title":"Am J Infect Control"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1093\/jac\/28.1.109","article-title":"A prospective randomized study of prophylactic teicoplanin to prevent early Hickman catheter-related sepsis in patients receiving intensive chemotherapy for haematological malignancies","volume":"28","author":"S H Lim","year":"1991","journal-title":"J Antimicrob Chemother"},{"issue":"S 04","key":"ref16","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1046\/j.1469-0691.2001.00062.x","article-title":"Role of antibiotic prophylaxis for the prevention of intravascular catheter-related infection","volume":"7","author":"J Carratal\u00e0","year":"2001","journal-title":"Clin Microbiol Infect"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1186\/s13054-017-1814-y","article-title":"Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice","volume":"21","author":"B Saugel","year":"2017","journal-title":"Crit Care"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1693718.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,25]],"date-time":"2022-09-25T12:04:32Z","timestamp":1664107472000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1693718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,9]]},"references-count":17,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2020,11,16]]},"published-print":{"date-parts":[[2020,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1693718","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,9]]}}}