Atrial fibrillation induced by peripherally inserted central catheters

Golamari, Reshma; Sedhai, Yub Raj; Ramireddy, Karthik; Bhattacharya, Priyanka

doi:10.1080/08998280.2019.1668675

Cited by 4 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been reported that PICC line insertion can affect the right atrium and result in AF, and cease when the PICC tip is retracted [ 3 , 4 ]. X-ray has been suggested as the gold standard for post procedural check, but this only gives an anatomical estimate of positioning rather than functional—it has therefore been suggested that electrocardiogram (ECG)-assisted placement is performed to assess for arrhythmias such as AF [ 5 ].…”

Section: Case Reportmentioning

confidence: 99%

Acute ischaemia of the upper limb following peripherally inserted central catheter—a venous to arterial complication cascade

Hamdulay

Bosch

2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Peripherally inserted central catheters (PICC) are useful access devices that allow for longer-term intravenous access. This allows patients requiring an extended period of intravenous medication to have this administered without the need for repeat vascular punctures. Even minimally invasive procedures such as line insertion come with risks. Of particular interest to this article is a limb threatening complication soon after line placement. We discuss the PICC line catheter tip as the likely cause for arrhythmia that lead to an embolic occlusion of an upper limb and required acute surgical intervention for limb salvage. We stress the rapid sequence of events that lead to this ultimate complication. We also stress the importance for all clinicians to be aware of these risks and take a cautious approach as the majority of patients requiring longer-term access are already at greater risks of thromboembolic disease due to their comorbidities.

show abstract

Section: Case Reportmentioning

confidence: 99%

Acute ischaemia of the upper limb following peripherally inserted central catheter—a venous to arterial complication cascade

Hamdulay

Bosch

2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…Two randomised trials of PA catheters did not compare rates of NOAF between intervention and control groups, however both reported dysrhythmias during insertion in 3% of patients. 87,88 Atrial fibrillation may be induced by myocardial irritation from malpositioned central catheters 89 or by guidewires inserted into the atrium during catheter insertion. 90 It remains unclear whether central venous catheters pose an increased NOAF risk when well positioned.…”

Section: Modifiable Factorsmentioning

confidence: 99%

Risk factors for new-onset atrial fibrillation during critical illness: A Delphi study

Bedford

Garside

Darbyshire

et al. 2021

Journal of the Intensive Care Society

View full text Add to dashboard Cite

Background New-onset atrial fibrillation (NOAF) is common during critical illness and is associated with poor outcomes. Many risk factors for NOAF during critical illness have been identified, overlapping with risk factors for atrial fibrillation in patients in community settings. To develop interventions to prevent NOAF during critical illness, modifiable risk factors must be identified. These have not been studied in detail and it is not clear which variables warrant further study. Methods We undertook an international three-round Delphi process using an expert panel to identify important predictors of NOAF risk during critical illness. Results Of 22 experts invited, 12 agreed to participate. Participants were located in Europe, North America and South America and shared 110 publications on the subject of atrial fibrillation. All 12 completed the three Delphi rounds. Potentially modifiable risk factors identified include 15 intervention-related variables. Conclusions We present the results of the first Delphi process to identify important predictors of NOAF risk during critical illness. These results support further research into modifiable risk factors including optimal plasma electrolyte concentrations, rates of change of these electrolytes, fluid balance, choice of vasoactive medications and the use of preventative medications in high-risk patients. We also hope our findings will aid the development of predictive models for NOAF.

show abstract

Use of peripherally inserted central catheters in ICU patients: We need to put in balance the important risks versus the potential advantages!

Honoré

Redant

Préseau

et al. 2021

Journal of Critical Care

View full text Add to dashboard Cite

Atrial fibrillation induced by peripherally inserted central catheters

Cited by 4 publications

References 10 publications

Acute ischaemia of the upper limb following peripherally inserted central catheter—a venous to arterial complication cascade

Acute ischaemia of the upper limb following peripherally inserted central catheter—a venous to arterial complication cascade

Risk factors for new-onset atrial fibrillation during critical illness: A Delphi study

Use of peripherally inserted central catheters in ICU patients: We need to put in balance the important risks versus the potential advantages!

Contact Info

Product

Resources

About