Induction of life-threatening supraventricular tachycardia during central venous catheter placement: an unusual complication

Silva, Paulo Sérgio Lucas da; Waisberg, Jaques

doi:10.1016/j.jpedsurg.2010.05.013

Cited by 24 publications

(32 citation statements)

References 14 publications

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“…Sudden onset of ventricular tachycardia at the time of surgical closure of gastroschisis has also been reported 7. However, to our knowledge, this is the first report of an SVT precipitated by the PICC in an infant with gastroschisis that was resistant to adenosine 8. Our patient suddenly developed narrow complex supraventricular tachycardia 2 days after the PICC was inserted (figure 1).…”

Section: Discussionmentioning

confidence: 66%

Supraventricular tachycardia precipitated by a peripherally inserted central catheter in an infant with gastroschisis

Thyoka¹,

Haq

Hosie

2014

BMJ Case Reports

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Gastroschisis is a common congenital abdominal wall defect requiring surgical correction in early neonatal life. The time to full enteral feeds among infants with gastroschisis is variable. Gastroschisis remains a common surgical cause of intestinal failure in neonates. Peripherally inserted central catheters (PICC) are commonly used to provide long-term venous access for parenteral nutrition during the time enteral feeds are being slowly established. The PICC is placed under fluoroscopic guidance with the distal end of the catheter usually placed at the junction of the superior vena cava with the right atrium. In rare circumstances, the catheter tip may advance into intracardiac chambers, precipitating supraventricular re-entrant tachycardia. We report a case of an infant who was antenatally diagnosed with uncomplicated gastroschisis in whom a supraventricular tachycardia was precipitated by the PICC in the right atrium.

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Section: Discussionmentioning

confidence: 66%

Supraventricular tachycardia precipitated by a peripherally inserted central catheter in an infant with gastroschisis

Thyoka¹,

Haq

Hosie

2014

BMJ Case Reports

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“…Until now 16 cases of central venous catheter-induced arrhythmias are reported, with tachyarrhythmias being the commonest form. The most common arrhythmias reported so far are atrial flutter (8/16) and supraventricular tachycardia (7/16) [6,7].…”

Section: Arrhythmic Complications Of Picc Linementioning

confidence: 99%

“…The use of vagal maneuvers in neonates are controversial, but still one can use for buying time of adenosine preparation. Pressure on eyeballs and carotid sinus massage should not be attempted in neonates, as this may cause retinal detachment and cerebral ischemia [6,15,16]. If tachycardia persists, the initial step of management is stabilizing the neonate (intubation/assisted ventilation/check the blood pressure and do ABG) followed by administration of intravenous adenosine.…”

Section: Supraventricular Tachycardia (Svt)mentioning

confidence: 99%

Central Venous Catheter-Induced Cardiac Arrhythmias in Neonates

Prabha¹,

Khan²,

Galal³

et al. 2018

Cardiac Arrhythmias

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Central venous catheter (CVC) placement or peripherally inserted central catheters are a common bedside procedure, which is frequently performed in critically ill neonates. Even though it is a routine procedure in the neonatal critical care unit, it is not uncommon to have complications related to it. Due to the smaller size of the heart in neonates and premature infants, the usual anatomic landmark and distance from the insertion site may not be accurate. As they are commonly performed at bedside, fluoroscopic guidance would not be possible. In this chapter, we describe common cardiac arrhythmias induced by these CVC lines and practical tips to avoid these complications. Proper measurement with correct technique, proper fixation and vigilant watching for migration will reduce the incidence of these complications. It is mandatory that all bed side intensivist should think of central line induced arrhythmias in an ICU settings and should identify and treat it appropriately.

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“…Occurrence rates during insertion of CVC in adult patients are 41% for atrial arrhythmias, and 25% for ventricular ectopy [43]. A slightly lower rate is reported for pediatric patients with a 30% overall incidence of arrhythmias [44]. While complications from these are rarely reported in the literature, malignant/fatal arrhythmias have been described including complete heart block and sudden death.…”

Section: Cardiac Arrhythmias and Ectopymentioning

confidence: 99%

Bedside Procedure: Retained Central Venous Catheter

Cheung¹,

Mellert²,

Firstenberg³

2018

Vignettes in Patient Safety - Volume 2

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The placement of central venous catheters (CVC) is a common medical procedure and adjunct to current medical therapy. With millions of CVC placed yearly in the United States, complications occur. It is important to be aware of the potential immediate and long term complications associated with this procedure. In this chapter, a representative case of retained CVC guidewire is presented. Provider experience, appropriate patient selection and insertion technique can minimize the risk of immediate complication in most cases. A brief discussion of CVC complications with emphasis on guidewire malfunction is presented along with management and retrieval options.

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Induction of life-threatening supraventricular tachycardia during central venous catheter placement: an unusual complication

Cited by 24 publications

References 14 publications

Supraventricular tachycardia precipitated by a peripherally inserted central catheter in an infant with gastroschisis

Supraventricular tachycardia precipitated by a peripherally inserted central catheter in an infant with gastroschisis

Central Venous Catheter-Induced Cardiac Arrhythmias in Neonates

Bedside Procedure: Retained Central Venous Catheter

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