Supraventricular Tachycardia Triggered after Central Venous Catheter Insertion

Authors

  • Alfredo Aurélio Marinho Rosa Filho Universidade Federal de Alagoas – Hospital Universitário Professor Alberto Antunes – Maceió (AL), Brazil.
  • Caio Conde Merten Universidade Federal de Alagoas – Hospital Universitário Professor Alberto Antunes – Maceió (AL), Brazil.
  • Dandara Dias Gomes da Cunha Universidade Federal de Alagoas – Hospital Universitário Professor Alberto Antunes – Maceió (AL), Brazil.
  • Briane Alcântara Vieira Pasini Universidade Federal de São Paulo – São Paulo (SP), Brazil.
  • Carlos Romério Costa Ferro Universidade Federal de Alagoas – Hospital Universitário Professor Alberto Antunes – Maceió (AL), Brazil.

Keywords:

Arrhythmias, cardiac, Tachycardia, supraventricular, Central venous catheters

Abstract

Central venous access is an established procedure in clinical practice. A misplaced central venous catheter can induce supraventricular and ventricular arrhythmias. We describe the case of a 60-year-old female patient with a recent diagnosis of multiple myeloma hospitalized for chemotherapy. The patient had an episode of supraventricular tachycardia after installing a central venous catheter. The electrocardiogram of the case in question showed a RP’ interval of 60 ms, corroborating the nodal reentry mechanism with the probable mechanism of tachycardia. The present report draws attention to the need for caution during the installation of these central venous catheters.

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References

Frykholm, P. et al. Clinical guidelines on central venous catheterisation. Acta Anaesthesiologica Scandinavica 58, 508–524 (2014).

Bevc, S., Pecovnik-Balon, B., Ekart, R. & Hojs, R. Renal Failure Non-Insertion-Related Complications of Central Venous Catheterization-Temporary Vascular Access for Hemodialysis. (2009) doi:10.1080/08860220601039106.

Thyoka, M., Haq, I. & Hosie, G. Supraventricular tachycardia precipitated by a peripherally inserted central catheter in an infant with gastroschisis. BMJ Case Reports 29, 69–72 (2014).

Huang, Y. C., Huang, J. C., Chen, S. C., Chang, J. M. & Chen, H. C. Lethal cardiac arrhythmia during central venous catheterization in a uremic patient: A case report and review of the literature. Hemodialysis International 17, 644–648 (2013).

Gabriels, J. K., Braunstein, E. D., Lerman, B. B., Thomas, G. & Cheung, J. W. Recurrent Atrial Tachycardias Associated With Implantable Central Venous Access Catheters in Patients With Cancer. JACC: Clinical Electrophysiology 7, 1482–1483 (2021).

Golamari, R., Sedhai, Y. R., Ramireddy, K. & Bhattacharya, P. Atrial fibrillation induced by peripherally inserted central catheters. Baylor University Medical Center Proceedings 33, 83–84 (2020).

Alvarez, P., Schurmann, P., Smith, M., Valderrábano, M. & Lin, C. H. Position-Dependent Ventricular Tachycardia Related to Peripherally Inserted Central Venous Catheter. Methodist Debakey Cardiovasc J 12, 177–178 (2016).

Flannery, K. R., Wilson, S. P. & Manteuffel, J. Ventricular tachycardia cardiac arrest during central line placement. American Journal of Emergency Medicine 34, 114.e3-114.e4 (2016).

Verdino, R. J., Pacifico, D. S. & Tracy, C. M. Supraventricular Tachycardia Precipitated by a Peripherally Inserted Central Catheter. Journal of Electrocardiology vol. 29 (1996).

Josephson ME. Preexcitation syndromes. In: Clinical Cardiac Electrophysiology, 4th, Lippincot Williams & Wilkins. (2008).

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Published

2022-12-02

How to Cite

Rosa Filho, A. A. M., Conde Merten, C., Cunha, D. D. G. da, Alcântara Vieira Pasini, B., & Costa Ferro, C. R. (2022). Supraventricular Tachycardia Triggered after Central Venous Catheter Insertion . JOURNAL OF CARDIAC ARRHYTHMIAS, 35(1). Retrieved from https://jca.emnuvens.com.br/jca/article/view/3473

Issue

Vol. 35 (2022)

Section

Clinical Arrythmia

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