{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:32:43Z","timestamp":1793863963654,"version":"4.6.1"},"reference-count":11,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"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":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Venous access device (VAD) placement is essential for inpatient care but may be challenging when upper extremity veins are unavailable. Although femorally inserted central catheters are frequently used, a central device is not always required. Femorally inserted midline catheters with a peripheral tip represent a feasible alternative in selected patients. Given the absence of standardized nomenclature, the term \u201cFidline\u201d was introduced as a fusion of \u201cFemorally inserted peripheral catheter\u201d and \u201cMidline.\u201d This retrospective study evaluates indications, feasibility, and complications associated with this device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective case series was conducted using the institutional database to identify all Fidline catheters (FCs) inserted over a 12-month period. A total of 57 patients underwent FC placement; three were excluded because of unavailable post-implantation clinical documentation, leaving 54 patients for analysis. Clinical records were reviewed to collect data on catheter related thrombosis (CRT) and catheter-associated bloodstream infection (CABSI). All FCs (midline, 25\u2009cm length 4 FR single lumen) were implanted in the \u201csuperficial femoral vein\u201d at mid-thigh according to the SIF protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty-four patients were included (median age 85\u2009years; IQR 69.8\u201388), with a female predominance (53.7%) and the median length of hospital stay was 17.5\u2009days (IQR, 11.0\u201332.3). Most patients were admitted to medical wards (57.4%) and 50% had a previously placed VAD. Median catheter dwell time was 8\u2009days (IQR 4.0\u201313.0), with a median of 5.5\u2009days from admission to catheter placement. During 506 catheter-days, one symptomatic CRT and one CABSI occurred (1.97\/1000 catheter-days). At hospital discharge, the catheter remained in situ in 26 patients (48.1%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>FC appears to be a safe and viable VAD option, associated with a low observed rate of major complications in this cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261486394","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:51:23Z","timestamp":1790319083000},"page":"2900-2906","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["FIDLINE: femorally inserted midline catheter. Retrospective evaluation of clinical outcomes in acute care patients"],"prefix":"10.1177","volume":"27","author":[{"given":"Genesio","family":"Puzio","sequence":"first","affiliation":[{"name":"Vascular Access Team, Presidio Ospedaliero \u201cSan Filippo Neri\u201d, Roma, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Landolfi","sequence":"additional","affiliation":[{"name":"Vascular Access Team, Presidio Ospedaliero \u201cSan Filippo Neri\u201d, Roma, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Segneri","sequence":"additional","affiliation":[{"name":"Vascular Access Team, Presidio Ospedaliero \u201cSan Filippo Neri\u201d, Roma, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8069-2876","authenticated-orcid":false,"given":"Giovanna","family":"Passaro","sequence":"additional","affiliation":[{"name":"Internal Medicine, Presidio Ospedaliero \u201cSan Filippo Neri\u201d, Roma, Lazio, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211041442"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221085450"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211043410"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241291248"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000532"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231209253"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211008091"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2024.06.019"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298251414800"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231188150"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261486394","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298261486394","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298261486394","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:11:42Z","timestamp":1793862702000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298261486394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/11297298261486394"],"URL":"https:\/\/doi.org\/10.1177\/11297298261486394","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]}}}