Confirmatory radiographs have limited utility following ultrasound-guided tunneled femoral central venous catheter placements by interventional radiology

Study of 484 pediatric femoral CVC placements demonstrates 100% concordance between intraprocedural ultrasound and confirmatory radiographs, suggesting routine post-placement radiographs are unnecessary when ultrasound verification is performed. Radiographs may be reserved for cases with procedural uncertainty or clinical concern.