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Related Experiment Video

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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire

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Post placement positional atrial fibrillation and peripherally inserted central catheters.

H Elsharkawy¹, B S Lewis, E Steiger

¹Institute of Anesthesiology, Cleveland Clinic, Cleveland, OH 44195, USA.

Minerva Anestesiologica

|April 21, 2009

Summary

A peripherally inserted central catheter (PICC) can cause positional atrial arrhythmias in hospitalized patients. Repositioning the PICC corrected the arrhythmia, emphasizing careful placement and monitoring to prevent cardiac events.

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Area of Science:

Cardiology
Medical Devices

Background:

Cardiac arrhythmias are frequent in hospitalized patients and during surgical procedures.
Peripherally inserted central catheters (PICCs) are commonly used in clinical practice.

Observation:

A case of positional atrial arrhythmia was observed in a patient with a PICC.
Arrhythmia onset correlated with body position changes in the presence of the PICC.

Findings:

Immediate resolution of the arrhythmia upon PICC repositioning strongly implicated the catheter's position.
This case supports previous reports linking PICCs to position-dependent ventricular tachycardia.

Implications:

PICC tip position should be considered a potential, albeit rare, cause of positional atrial arrhythmias.
Highlights the importance of meticulous PICC placement and perioperative management to mitigate cardiac risks.