{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T22:52:38Z","timestamp":1788389558377,"version":"build-2803163510"},"reference-count":62,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Femoral to abdomen tunneling of small-bore central venous catheters is a bedside technique for patients with contraindications to a thoracic approach, or as an alternative to a lower extremity catheter exit site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A femoral to abdomen tunneling technique was implemented for patients receiving medium and long-term intravenous treatments with contraindications to the thoracic venous approach or as an alternative to a lower extremity catheter exit site. All venous access devices were inserted with ultrasound guidance under local anesthesia, and catheter tip placement assessed by post procedural radiography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In this case series, from January 2020 to January 2023, a total of eight FTA-tunneled venous access devices were inserted. There were seven ambulatory patients and one bedbound patient. The median length of the subcutaneous tunnel was 20\u2009cm, ranging from 15 to 27\u2009cm. The median length of the intravenous catheter to the terminal tip was 31\u2009cm, ranging from 23 to 40\u2009cm. Tip location was confirmed by post-procedural abdominal radiograph. The catheter tip locations were interpreted to be at the level of T8-T9 (2), T12 (1), L4 (2), L2 (2), L1(1).<\/jats:p>\n                    <jats:p>No insertion or post insertion related complication was reported. Six patients completed the scheduled intravenous treatment. One patient was unable to be tracked due to transfer to an outside facility. One catheter initially demonstrated to be coiled over the left common iliac vessel was repositioned using a high flow flush technique. There was one reported catheter dislodgment by the nurse providing care and maintenance. The overall implant days were 961, with a median dwell time of 125\u2009days ranging from 20 to 399\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Femoral to abdomen tunneling provides an alternative exit site useful in select patients with complex intravenous access. The data of this small retrospective review suggests this a safe and minimally invasive bedside procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298241251510","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T06:44:26Z","timestamp":1714977866000},"page":"1000-1008","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Femoral to abdomen tunneling at the bedside for medium\/long term venous access"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5417-5621","authenticated-orcid":false,"given":"Matt","family":"Ostroff","sequence":"first","affiliation":[{"name":"Saint Josephs Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossam","family":"Elzomor","sequence":"additional","affiliation":[{"name":"Albert Dorman Honors College of NJIT, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni Anne","family":"Weite","sequence":"additional","affiliation":[{"name":"Saint Josephs Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Garcia","sequence":"additional","affiliation":[{"name":"Saint Josephs Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Ahn","sequence":"additional","affiliation":[{"name":"Saint Josephs Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olena","family":"Stanko","sequence":"additional","affiliation":[{"name":"Saint Josephs Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Anderson","sequence":"additional","affiliation":[{"name":"Saint Josephs Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April","family":"Winborne","sequence":"additional","affiliation":[{"name":"Franklin Medical Center, Winnsboro, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7428-872X","authenticated-orcid":false,"given":"Evan","family":"Alexandrou","sequence":"additional","affiliation":[{"name":"Western Sydney University, Penrith South, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,6]]},"reference":[{"issue":"1","key":"e_1_3_3_2_2","article-title":"Infusion therapy standards of practice","volume":"47","author":"Gorski LA","year":"2024","unstructured":"Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy standards of practice. J Infu Nurs 2024; 47(1S): S1\u2013S285.","journal-title":"J Infu Nurs"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.java.2017.10.004"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819896473"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000810"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.java.2018.06.004"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211003745"},{"key":"e_1_3_3_8_2","volume-title":"The SIF protocol: A seven-step strategy to minimize complications potentially related to the insertion of femorally inserted central catheters","author":"Brescia F","year":"2021","unstructured":"Brescia F, Pittiruti M, Ostroff M, et al. The SIF protocol: A seven-step strategy to minimize complications potentially related to the insertion of femorally inserted central catheters. London: Sage Publications UK, 2021, p. 11297298211041442."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211043410"},{"key":"e_1_3_3_10_2","article-title":"Femoral venous access: state of the art and future perspectives","volume":"13","author":"Annetta MG","year":"2023","unstructured":"Annetta MG, Elli S, Marche B, et al. Femoral venous access: state of the art and future perspectives. J Vasc Access 2023; 13: 11297298231209253.","journal-title":"J Vasc Access"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.2309\/java.16-3-5"},{"key":"e_1_3_3_12_2","article-title":"Rapid Assessment of Vascular Exit Site and Tunneling Options (RAVESTO): a new decision tool in the management of the complex vascular access patients","author":"Ostroff MD","year":"2021","unstructured":"Ostroff MD, Moureau N, Pittiruti M. Rapid Assessment of Vascular Exit Site and Tunneling Options (RAVESTO): a new decision tool in the management of the complex vascular access patients. J Vasc Access 2021; 24(2): 11297298211034306.","journal-title":"J Vasc Access"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-18614-1_43"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818804718"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820965063"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-88-470-5665-7_12"},{"key":"e_1_3_3_17_2","author":"Tucker WD","year":"2018","unstructured":"Tucker WD, Shrestha R, Burns B. Anatomy, abdomen and pelvis, inferior vena cava. StatPearls Publishing. 2018.","journal-title":"Anatomy, abdomen and pelvis, inferior vena cava"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000748"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2018.10.008"},{"issue":"1","key":"e_1_3_3_20_2","article-title":"Infusion therapy standards of practice","volume":"44","author":"Gorski LA","year":"2021","unstructured":"Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy standards of practice. J Infu Nurs 2021; 44(1S): S1\u2013S224.","journal-title":"J Infu Nurs"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0106"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/08860220902780077"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/2054358116669129"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2017.05.007"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000001180"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11239-017-1569-y"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355518772746"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211035331"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211026825"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211002579"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000228"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820940178"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818757974"},{"issue":"5","key":"e_1_3_3_35_2","first-page":"403","article-title":"Percutaneous placement of femoral central venous catheter in patients undergoing transplantation of bone marrow","volume":"170","author":"Lazarus H","year":"1990","unstructured":"Lazarus H, Creger RJ, Bloom AD, et al. Percutaneous placement of femoral central venous catheter in patients undergoing transplantation of bone marrow. Surg Gynecol Obstet 1990; 170(5): 403\u2013406.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(89)80559-1"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(92)90783-4"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(93)71835-7"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000250"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.4103\/cjhr.cjhr_56_19"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2023.2205587"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820938179"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.4103\/ija.ija_476_21"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.12746\/swrccc.v8i33.629"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.5301\/JVA.2011.8381"},{"key":"e_1_3_3_46_2","volume-title":"ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients","author":"Greca AL","year":"2021","unstructured":"Greca AL, Lacobone E, Elisei D, et al. ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients. London: Sage Publications UK, 2021, p. 11297298211044325."},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820929835"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.java.2015.05.002"},{"key":"e_1_3_3_49_2","volume-title":"Neo-ECHOTIP: a structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in neonates","author":"Barone G","year":"2021","unstructured":"Barone G, Pittiruti M, Biasucci DG, et al. Neo-ECHOTIP: a structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in neonates. London: Sage Publications UK, 2021, p. 11297298211007703."},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820982864"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-021-01014-7"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211068302"},{"issue":"17","key":"e_1_3_3_53_2","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics13172850","article-title":"The role of ultrasound in epicutaneo-caval catheter insertion in neonates: systematic review, meta-analysis and future perspectives","volume":"13","author":"D\u2019Andrea V","year":"2023","unstructured":"D\u2019Andrea V, Cascini V, Russo R, et al. The role of ultrasound in epicutaneo-caval catheter insertion in neonates: systematic review, meta-analysis and future perspectives. Diagnostics 2023; 13(17): 2850.","journal-title":"Diagnostics"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-94709-5_6"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820982864"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70044-3"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2013.12.004"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231153979"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211035331"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231178063"},{"key":"e_1_3_3_61_2","doi-asserted-by":"publisher","DOI":"10.1097\/01823246-201324020-00003"},{"key":"e_1_3_3_62_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2013.01.006"},{"key":"e_1_3_3_63_2","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2023660"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241251510","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298241251510","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241251510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:24:40Z","timestamp":1777692280000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298241251510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,6]]},"references-count":62,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1177\/11297298241251510"],"URL":"https:\/\/doi.org\/10.1177\/11297298241251510","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,6]]}}}