TY  - JOUR
T1  - Positional effects on femoral vein cross-sectional area: a prospective ultrasonographic study
TT  - Positional effects on femoral vein cross-sectional area: a prospective ultrasonographic study
AU  - Süer Doğan, İhsaniye
AU  - Kavak, Nezih
PY  - 2025
DA  - July
Y2  - 2025
DO  - 10.38053/acmj.1709927
JF  - Anatolian Current Medical Journal
JO  - Anatolian Curr Med J / ACMJ / acmj
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2718-0115
SP  - 529
EP  - 534
VL  - 7
IS  - 4
LA  - en
AB  - Aims: The study aimed to assess the variation in femoral vein diameter and cross-sectional area (CSA) across different body positions in a cohort of healthy Turkish adults and to explore the associations between venous measurements and demographic variables, including age, sex, and body-mass index (BMI).Methods: Ultrasonographic measurements of the right and left femoral vein diameters and CSA were obtained in five distinct body positions from 278 healthy adults, encompassing a total of 556 lower limbs. Demographic parameters, including age, sex, and BMI, were systematically documented for each participant.Results: A total of 278 participants (556 limbs) were analysed. Males exhibited significantly higher femoral vein CSA than females across all positions (p
KW  - Femoral vein
KW  - cross-sectional area
KW  - ultrasonography
N2  - Aims: The study aimed to assess the variation in femoral vein diameter and cross-sectional area (CSA) across different body positions in a cohort of healthy Turkish adults and to explore the associations between venous measurements and demographic variables, including age, sex, and body-mass index (BMI).Methods: Ultrasonographic measurements of the right and left femoral vein diameters and CSA were obtained in five distinct body positions from 278 healthy adults, encompassing a total of 556 lower limbs. Demographic parameters, including age, sex, and BMI, were systematically documented for each participant.Results: A total of 278 participants (556 limbs) were analysed. Males exhibited significantly higher femoral vein CSA than females across all positions (p
CR  - Woodfall K, van Zundert A. Central Venous access: an update on modern techniques to avoid complications. Healthcare (Basel). 2025;13(10):1168. doi:10.3390/healthcare13101168
CR  - Kolikof J, Peterson K, Williams C, et al. Central venous catheter insertion. [Updated 2025 Feb 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557798/
CR  - Echefu G, Stowe I, Lukan A, et al. Central vein stenosis in hemodialysis vascular access: clinical manifestations and contemporary management strategies. Front Nephrol. 2023;3:1280666. doi:10.3389/fneph.2023. 1280666
CR  - Boulet N, Muller L, Rickard CM, Lefrant JY, Roger C. How to improve the efficiency and the safety of real-time ultrasound-guided central venous catheterization in 2023: a narrative review. Ann Intensive Care. 2023;13(1):117. doi:10.1186/s13613-023-01212-y
CR  - Misirlioglu M, Yildizdas D, Yavas et al. Central venous catheter insertion for vascular access: a 6-year single-center experience. Indian J Crit Care Med. 2023;27(10):748-753. doi:10.5005/jp-journals-10071-24536
CR  - Lockwood J, Desai N. Central venous access. Br J Hosp Med (Lond). 2019;80(8):C114. doi:10.12968/hmed.2019.80.8.C114
CR  - Abdulelah M, Haider O, Abdulelah H, Jamouss KT, Higgins TL. Venous access devices (Review). Med Int (Lond). 2025;5(4):42. doi:10.3892/mi. 2025.241
CR  - Tsotsolis N, Tsirgogianni K, Kioumis I, et al. Pneumothorax as a complication of central venous catheter insertion. Ann Transl Med. 2015;3(3):40. doi:10.3978/j.issn.2305-5839.2015.02.11
CR  - Sakuraya M, Okano H, Yoshihiro S, Niida S, Kimura K. Insertion site of central venous catheter among hospitalized adult patients: a systematic review and network meta-analysis. Front Med (Lausanne). 2022;9:  960135. doi:10.3389/fmed.2022.960135
CR  - Annetta MG, Elli S, Marche B, Pinelli F, Pittiruti M. Femoral venous access: state of the art and future perspectives. J Vasc Access. 2025;26(2): 361-371. doi:10.1177/11297298231209253
CR  - Vezzani A, Manca T, Vercelli A, Braghieri A, Magnacavallo A. Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications. J Ultrasound. 2013;16(4):161-170. doi:10. 1007/s40477-013-0046-5
CR  - Adrian M, Borgquist O, Kröger T, et al. Mechanical complications after central venous catheterisation in the ultrasound-guided era: a prospective multicentre cohort study. Br J Anaesth. 2022;129(6):843-850. doi:10.1016/j.bja.2022.08.036
CR  - Imai E, Kataoka Y, Watanabe J, et al. Ultrasound-guided central venous catheterization around the neck: systematic review and network meta-analysis. Am J Emerg Med. 2024;78:206-214. doi:10.1016/j.ajem.2024.01.043
CR  - Czyzewska D, Ustymowicz A, Kowalewski R, Zurada A, Krejza J. Cross-sectional area of the femoral vein varies with leg position and distance from the inguinal ligament. PLoS One. 2017;12(8):e0182623. doi:10.1371/journal.pone.0182623
CR  - Stone MB, Price DD, Anderson BS. Ultrasonographic investigation of the effect of reverse Trendelenburg on the cross-sectional area of the femoral vein. J Emerg Med. 2006;30(2):211-213. doi:10.1016/j.jemermed. 2005.05.022
CR  - Suk EH, Kim DH, Kil HK, Kweon TD. Effects of reverse Trendelenburg position and inguinal compression on femoral vein cross-sectional area in infants and young children. Anaesthesia. 2009;64(4):399-402. doi:10. 1111/j.1365-2044.2008.05815.x
CR  - Kim JT, Lee NJ, Na HS, et al. Ultrasonographic investigation of the effect of inguinal compression on the cross-sectional area of the femoral vein. Acad Emerg Med. 2008;15(1):101-3. doi:10.1111/j.1553-2712.2007.00018.x
CR  - Weir CB, Jan A. BMI classification percentile and cut off points. 2023 Jun 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
CR  - Lee SH, Yu DU, Kim TK, et al. Analysis of the common femoral artery and vein: anatomical morphology, vessel relationship, and factors affecting vessel size. Medicina (Kaunas). 2022;58(2):325. doi:10.3390/medicina58020325
CR  - Keiler J, Seidel R, Wree A. The femoral vein diameter and its correlation with sex, age and body mass index-an anatomical parameter with clinical relevance. Phlebology. 2019;34(1):58-69. doi:10.1177/0268355518772746
CR  - Molnár AÁ, Nádasy GL, Dörnyei G, et al. The aging venous system: from varicosities to vascular cognitive impairment. Geroscience. 2021;43(6): 2761-2784. doi:10.1007/s11357-021-00475-2
UR  - https://doi.org/10.38053/acmj.1709927
L1  - https://dergipark.org.tr/tr/download/article-file/4917894
ER  -