Case Report on CRT Lead Placement in Obstructed Veins Using Surfacer System The Surfacer System is designed to reliably, efficiently and repeatedly gain central venous access by inserting the Surfacer System through the right femoral vein and navigating it up through the patient’s venous system with an exit point in the right internal jugular vein, the optimal location for placing a central venous catheter. May 6, 2021 - Bluegrass Vascular Technologies announced the publication of a report documenting the clinical utility of the its Surfacer System to gain venous access prior to the placement of cardiac resynchronization therapy (CRT) device leads in a patient with obstructed central veins.