Peripheral Central Venous Catheter Induced Supraventricular Tachycardia in a Patient of Acute Lymphoblastic Leukemia

Abstract

Central venous catheters (CVCs) are used in intensive care units (and, increasingly, in other locations) to administer intravenous fluids and blood products, drugs, parenteral nutrition, and to monitor haemodynamic status. The risk of complication during the insertion or exchange of central venous catheters has been well documented. The majority of complications involve mechanical problems, although rarely it may induce arrhythmias as well [1]. Herein we present a case of peripheral central venous catheter induced supraventricular tachycardia in a young patient of acute lymphoblastic leukemia.

Guidewire-induced asystole complicating a right internal jugular catheter placement in a patient with pre-existing left bundle branch block: A case report

“…So, it is better to consider the safe limit up to 18 cm. 3,4,10 Lee et al have a prospective study comparing the incidence of cardiac arrhythmias with three different lengths of guidewire insertion (15, 17.5, and 20 cm) during right IJV catheter insertion. Cardiac arrhythmia was reported in 26%, 35%, and 65% with 15, 17.5, and 20 cm respectively.…”

“…Most patients were female. 2–7 Imran et al 3 reported recurrent supraventricular tachyarrhythmia (SVT) in a patient aged 17 years diagnosed as acute lymphoblastic leukemia after a peripherally inserted central venous catheter (PICC) for chemotherapy. SVT did not recur after PICC was with pulled out few centimeters.…”

“…Some authors suggest using a prophylactic temporary transvenous pacemaker in high-risk patients because of the risk of CHB, while others argue against it because of low incidence of this complication 3 and need for care during guidewire insertion in patient with pre-existing blocks.…”