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

Rangreze Imran,Shehla Shafi Khan,Al-Hanash Ali,Asiri Abdulrahman

doi:10.4236/crcm.2016.53012

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.

Highlights

Insertion of a central venous catheter (CVC) in a human was first reported by Werner Forssman, a surgical intern, who described canalizing his own right atrium via the cephalic vein in 1929
He was investigated and diagnosed to have acute lymphoblastic lymphoma. His base line electrocardiogram (ECG) and echocardiography were normal (Figure 1). He was planned for chemotherapy and a peripherally inserted central venous catheter (PICC) was put through left ante-cubital vein
Paroxysmal supraventricular tachycardia (PSVT) is a common arrhythmia occurring with an incidence of 2.5 per 1000 adults [3]

Summary

Introduction

Insertion of a central venous catheter (CVC) in a human was first reported by Werner Forssman, a surgical intern, who described canalizing his own right atrium via the cephalic vein in 1929. Insertion of a CVC using the Seldinger technique revolutionized medicine by allowing the central venous system to be accessed safely and . Central venous catheters are commonly used among critically ill and leukemic patients for administering/guaging iv fluids and delivering medicines. Case Reports in Clinical Medicine, 5, 6770. R. Imran et al cations during central venous access procedures, as was the case with our patient. Periprocedural arrhythmias are universally the result of guidewire or catheter placement into the right heart and limiting the depth of guidewire insertion to less than 16 cm avoids this complication [2]. Catheter migration up to 3 cm is common with patient movement and repositioning may cause delayed symptoms

Case Summary

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Discussion

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