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Abstract

Mechanical stimulation from the catheter can result in many types of atrial and ventricular arrhythmias. Possible reasons for delayed arrhythmias include catheter malposition at the time of placement and postplacement migration. If the cause of arrhythmia is the embolized fragment of the catheter, a fatal cardiac complication such as ventricular fibrillation and sudden cardiac death may occur. The correct catheter tip position is mandatory to avoid this complication. Optimal tip position is usually at the junction of the superior vena cava and right atrium.

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References

  1. Polderman KH, Girbes AJ (2002) Central venous catheter use. Part 1: mechanical complications. Intensive Care Med 28:1–17

    Article  PubMed  Google Scholar 

  2. da Silva PS, Waisberg J (2010) Induction of life-threatening supraventricular tachycardia during central venous catheter placement: an unusual complication. J Pediatr Surg 45:E13–16

    Article  PubMed  Google Scholar 

  3. Stuart RK, Shikora SA, Akerman P et al (1990) Incidence of arrhythmia with central venous catheter insertion and exchange. JPEN J Parenter Enteral Nutr 14:152–155

    Article  PubMed  CAS  Google Scholar 

  4. Lee TY, Sung CS, Chu YC et al (1996) Incidence and risk factors of guidewire-induced arrhythmia during internal jugular venous catheterization: comparison of marked and plain J-wires. J Clin Anesth 8:348–351

    Article  PubMed  CAS  Google Scholar 

  5. Brothers TE, Von Moll LK, Niederhuber JE et al (1988) Experience with subcutaneous infusion ports in three hundred patients. Surg Gynecol Obstet 166:295–301

    PubMed  CAS  Google Scholar 

  6. Faraj W, Zaghal A, El-Beyrouthy O, Kutoubi A (2010) Complete catheter disconnection and migration of an implantable venous access device: the disconnected cap sign. Ann Vasc Surg 24:692

    Article  PubMed  Google Scholar 

  7. Paoletti F, Ripani U, Antonelli M, Nicoletta G (2005) Central venous catheters. Observations on the implantation technique and its complications. Minerva Anestesiol 71:555–560

    PubMed  CAS  Google Scholar 

  8. Vesely TM (2003) Central venous catheter tip position: a continuing controversy. J Vasc Interv Radiol 14:527–234

    Article  PubMed  Google Scholar 

  9. Ng PK, Ault MJ, Ellrodt AG, Maldonado L (1997) Peripherally inserted central catheters in general medicine. Mayo Clin Proc 72:225–233

    Article  PubMed  CAS  Google Scholar 

  10. Smyth SH, Zaetta JM (2000) Fatal complication of percutaneously inserted central catheter: extent of tip movement. J Vasc Interv Radiol 11:295–296

    Article  Google Scholar 

  11. Steiger E (2006) Dysfunction and thrombotic complications of vascular access devices. JPEN J Parenter Enteral Nutr 30:S70–72

    Article  PubMed  Google Scholar 

  12. Cobb DK, High KP, Sawyer RG et al (1992) A controlled trial of scheduled replacement of central venous and pulmonary-artery catheters. N Engl J Med 327:1062–1068

    Article  PubMed  CAS  Google Scholar 

  13. Yavascan O, Mir S, Tekguc H (2009) Supraventricular tachycardia following insertion of a central venous catheter. Saudi J Kidney Dis Transpl 20:1061–1064

    PubMed  Google Scholar 

  14. Gowda MR, Gowda RM, Khan IA et L (2004) Positional ventricular tachycardia from a fractured mediport catheter with right ventricular migration—a case report. Angiology 55:557–560

    Article  PubMed  Google Scholar 

  15. Suárez-Peñaranda JM, Guitian-Barreiro, Concheiro-Carro L (1995) Longstanding intracardiac catheter embolism. An unusual autopsy finding. Am J Forensic Med Pathol 16:124–126

    Article  PubMed  Google Scholar 

  16. Gupta S, Steiger E, Sands M (2006) Vascular access for the patient receiving parenteral nutrition. In: Buchman AL (ed) Clinical nutrition in gastrointestinal disease, SLACK, Thorofare, NJ, pp 409–419

    Google Scholar 

  17. Curelaru I, Linder LE, Gustavsson B (1980) Displacement of catheters inserted through internal jugular veins with neck flexion and extension. A preliminary study. Intensive Care Med 6:179–183

    Article  PubMed  CAS  Google Scholar 

  18. Pawlik MT, Kutz N, Keyl C ET AL (2004) Central venous catheter placement: comparison of the intravascular guidewire and the fluid column electrocardiograms. Eur J Anaesthesiol 21:594–599

    PubMed  CAS  Google Scholar 

  19. Dionisio P, Valenti M, Cornella C /ET AL (1995) Monitoring of central venous dual-lumen catheter placement in haemodialysis: improvement of a technique for the practising nephrologist. Nephrol Dial Transplant 10:2118–2121

    PubMed  CAS  Google Scholar 

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Correspondence to Isidoro Di Carlo .

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© 2012 Springer-Verlag Italia

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Toro, A., Di Carlo, I. (2012). Cardiac Arrhythmia. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_15

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  • DOI: https://doi.org/10.1007/978-88-470-2373-4_15

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2372-7

  • Online ISBN: 978-88-470-2373-4

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