Journal of Acute Care

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VOLUME 1 , ISSUE 2 ( May-August, 2022 ) > List of Articles

Video CME

Femoral Venous Doppler: A Marker of Venous Congestion

Vimal Bhardwaj

Keywords : Femoral venous Doppler, Inferior vena cava, Venous congestion

Citation Information : Bhardwaj V. Femoral Venous Doppler: A Marker of Venous Congestion. 2022; 1 (2):102-103.

DOI: 10.5005/jp-journals-10089-0034

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


This video depicts the femoral venous Doppler (FVD) and inferior vena cava (IVC) relationship. IVC visualization has emerged as a popular technique to depict venous congestion and decide on deresuscitation/fluid administration. There are several scenarios wherein IVC visualization might be challenging for that is. Obesity, postabdominal, and cardiac surgeries, in addition to IVC visualization, are marred with imaging controversies surrounding the long and short axes with diaphragmatic movement causing false values of measurement.1 Considering the caveats surrounding IVC measurement and taking into consideration the anatomical, physiological continuum relationship between the right femoral vein and IVC. FVD might provide a reliable window into the dimension of IVC. Normal FVD is predominantly antegrade flow, nonpulsatile in nature, with a respiratory variation.2 The same has been shown in the video wherein IVC is <2 cm with respiratory variation, corresponding FVD shows predominant antegrade flow, nonpulsatile in nature, and abolishing waveform during inspiration which depicts a noncongested state.

  1. Finnerty NM, Panchal AR, Boulger C, et al. Inferior vena cava measurement with ultrasound: what is the best view and best mode? West J Emerg Med 2017;18(3):496–501. DOI: 10.5811/westjem.2016.12.32489
  2. Denault AY, Aldred MP, Hammoud A, et al. Doppler interrogation of the femoral vein in the critically ill patient: the fastest potential acoustic window to diagnose right ventricular dysfunction? Crit Care Explor 2020;2(10):e0209. DOI: 10.1097/CCE.0000000000000209
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