Prevalence of abnormal common femoral vein pulsatility on Doppler ultrasound in patients undergoing cardiac surgery and its association with adverse events: a prospective cohort study

Beaubien-Souligny W, Bouchard J, Desjardins G, et al. Extracardiac signs of fluid overload in the critically ill cardiac patient: a focused evaluation using bedside ultrasound. Can J Cardiol 2017; 33: 88–100. https://doi.org/10.1016/j.cjca.2016.08.012

Article  PubMed  Google Scholar 

Lopez MG, Shotwell MS, Morse J, et al. Intraoperative venous congestion and acute kidney injury in cardiac surgery: an observational cohort study. Br J Anaesth 2021; 126: 599–607. https://doi.org/10.1016/j.bja.2020.12.028

Article  PubMed  PubMed Central  CAS  Google Scholar 

Stein A, de Souza LV, Belettini CR, et al. Fluid overload and changes in serum creatinine after cardiac surgery: predictors of mortality and longer intensive care stay. A prospective cohort study. Crit Care 2012; 16: R99. https://doi.org/10.1186/cc11368

Article  PubMed  PubMed Central  Google Scholar 

Surkova E, Cosyns B, Gerber B, Gimelli A, La Gerche A, Marsan NA. The dysfunctional right ventricle: the importance of multi-modality imaging. Eur Heart J Cardiovasc Imaging 2022; 23: 885–97. https://doi.org/10.1093/ehjci/jeac037

Article  PubMed  PubMed Central  Google Scholar 

Raymond M, Grønlykke L, Couture EJ, et al. Perioperative right ventricular pressure monitoring in cardiac surgery. J Cardiothorac Vasc Anesth 2019; 33: 1090–104. https://doi.org/10.1053/j.jvca.2018.08.198

Article  PubMed  Google Scholar 

Deschamps J, Denault A, Galarza L, et al. Venous Doppler to assess congestion: a comprehensive review of current evidence and nomenclature. Ultrasound Med Biol 2023; 49: 3–17. https://doi.org/10.1016/j.ultrasmedbio.2022.07.011

Article  PubMed  Google Scholar 

Eljaiek R, Cavayas YA, Rodrigue E, et al. High postoperative portal venous flow pulsatility indicates right ventricular dysfunction and predicts complications in cardiac surgery patients. Br J Anaesth 2019; 122: 206–14. https://doi.org/10.1016/j.bja.2018.09.028

Article  PubMed  CAS  Google Scholar 

Beaubien-Souligny W, Benkreira A, Robillard P, et al. Alterations in portal vein flow and intrarenal venous flow are associated with acute kidney injury after cardiac surgery: a prospective observational cohort study. J Am Heart Assoc 2018; 7: e009961. https://doi.org/10.1161/jaha.118.009961

Article  PubMed  PubMed Central  Google Scholar 

Beaubien-Souligny W, Rola P, Haycock K, et al. Quantifying systemic congestion with Point-Of-Care ultrasound: development of the venous excess ultrasound grading system. Ultrasound J 2020; 12: 16. https://doi.org/10.1186/s13089-020-00163-w

Article  PubMed  PubMed Central  Google Scholar 

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: e0209. https://doi.org/10.1097/cce.0000000000000209

Article  PubMed  PubMed Central  Google Scholar 

Abu-Yousef MM, Mufid M, Woods KT, Brown BP, Barloon TJ. Normal lower limb venous Doppler flow phasicity: is it cardiac or respiratory? AJR Am J Roentgenol 1997; 169: 1721–5. https://doi.org/10.2214/ajr.169.6.9393197

Article  PubMed  CAS  Google Scholar 

Abu-Yousef MM, Kakish ME, Mufid M. Pulsatile venous Doppler flow in lower limbs: highly indicative of elevated right atrium pressure. AJR Am J Roentgenol 1996; 167: 977–80. https://doi.org/10.2214/ajr.167.4.8819397

Article  PubMed  CAS  Google Scholar 

Kakish ME, Abu-Yousef MM, Brown PB, Warnock NG, Barloon TJ, Pelsang RE. Pulsatile lower limb venous Doppler flow: prevalence and value in cardiac disease diagnosis. J Ultrasound Med 1996; 15: 747–53. https://doi.org/10.7863/jum.1996.15.11.747

Article  PubMed  CAS  Google Scholar 

McClure MJ, Kelly BE, Campbell NS, Blair PH. Duplex Doppler ultrasonography of lower limb veins: detection of cardiac abnormalities. Clin Radiol 2000; 55: 533–6. https://doi.org/10.1053/crad.1999.0489

Article  PubMed  CAS  Google Scholar 

Cozcolluela MR, Sarría L, Sanz L, et al. Correlation of central venous pressure with Doppler waveform of the common femoral veins. J Ultrasound Med 2000; 19: 587–92. https://doi.org/10.7863/jum.2000.19.8.587

Article  PubMed  CAS  Google Scholar 

Alimoğlu E, Erden A, Gürsel K, Olçer T. Correlation of right atrial pressure and blood flow velocities in the common femoral vein obtained by duplex Doppler sonography. J Clin Ultrasound 2001; 29: 87–91. https://doi.org/10.1002/1097-0096(200102)29:2%3C87::aid-jcu1003%3E3.0.co;2-1

Croquette M, Puyade M, Montani D, et al. Diagnostic performance of pulsed Doppler ultrasound of the common femoral vein to detect elevated right atrial pressure in pulmonary hypertension. J Cardiovasc Transl Res 2023; 16: 141–51. https://doi.org/10.1007/s12265-022-10276-3

Article  PubMed  Google Scholar 

Bhardwaj V, Rola P, Denault A, Vikneswaran G, Spiegel R. Femoral vein pulsatility: a simple tool for venous congestion assessment. Ultrasound J 2023; 15: 24. https://doi.org/10.1186/s13089-023-00321-w

Article  PubMed  PubMed Central  CAS  Google Scholar 

Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform 2019; 95: 103208. https://doi.org/10.1016/j.jbi.2019.103208

Article  PubMed  PubMed Central  Google Scholar 

Levey AS, Stevens LA, Schmid CH, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med 2009; 150: 604–12. https://doi.org/10.7326/0003-4819-150-9-200905050-00006

Article  PubMed  PubMed Central  Google Scholar 

Stoppe C, McDonald B, Benstoem C, et al. Evaluation of persistent organ dysfunction plus death as a novel composite outcome in cardiac surgical patients. J Cardiothorac Vasc Anesth 2016; 30: 30–8. https://doi.org/10.1053/j.jvca.2015.07.035

Article  PubMed  Google Scholar 

KDIGO Acute Kidney Injury Work Group. KDIGO clinical practice guideline for acute kidney injury; 2012. Available from URL: https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-AKI-Guideline-English.pdf (accessed October 2024).

Mehran R, Rao SV, Bhatt DL, et al. Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the Bleeding Academic Research Consortium. Circulation 2011; 123: 2736–47. https://doi.org/10.1161/circulationaha.110.009449

Article  PubMed  Google Scholar 

Jian L, Sheng S, Min Y, Zhongxiang Y. Risk factors for endotracheal re-intubation following coronary artery bypass grafting. J Cardiothorac Surg 2013; 8: 208. https://doi.org/10.1186/1749-8090-8-208

Article  PubMed  PubMed Central  Google Scholar 

Denault A, Couture EJ, De Medicis É, et al. Perioperative Doppler ultrasound assessment of portal vein flow pulsatility in high-risk cardiac surgery patients: a multicentre prospective cohort study. Br J Anaesth 2022; 129: 659–69. https://doi.org/10.1016/j.bja.2022.07.053

Article  PubMed  Google Scholar 

Willenberg T, Schumacher A, Amann-Vesti B, et al. Impact of obesity on venous hemodynamics of the lower limbs. J Vasc Surg 2010; 52: 664–8. https://doi.org/10.1016/j.jvs.2010.04.023

Article  PubMed  Google Scholar 

Schroedter WB, White JM, Garcia AR, Ellis ME. Presence of lower-extremity venous pulsatility is not always the result of cardiac dysfunction. J Vasc Ultrasound 2014; 38: 71–5. https://doi.org/10.1177/154431671403800201

Article  Google Scholar 

Gallix BP, Taourel P, Dauzat M, Bruel JM, Lafortune M. Flow pulsatility in the portal venous system: a study of Doppler sonography in healthy adults. AJR Am J Roentgenol 1997; 169: 141–4. https://doi.org/10.2214/ajr.169.1.9207514

Article  PubMed  CAS  Google Scholar 

Comments (0)

No login
gif