Case study of PICC induced atrial fibrillation

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"We present a case of atrial fibrillation possibly triggered by migration of the tip of the PICC deep into the right atrium" Golamari et al (2019).

Abstract:

Peripherally inserted central catheters (PICCs), a form of central venous catheter (CVC) inserted into the cephalic or basilic veins, are most commonly used for administration of long-term antibiotics or for total parenteral nutrition. PICCs are associated with fewer complications than traditional CVCs; however, they have been implicated in accidental malpositioning, leading to both atrial and ventricular arrhythmias. We present a case of atrial fibrillation possibly triggered by migration of the tip of the PICC deep into the right atrium. Retraction of the tip resulted in resolution of the arrhythmia. Full Text

Reference:

Golamari, R., Sedhai, Y.R., Ramireddy, K. and Bhattacharya, P. (2019) Atrial fibrillation induced by peripherally inserted central catheters. Proceedings (Baylor University. Medical Center). 33(1), p.83-84. doi: 10.1080/08998280.2019.1668675. eCollection 2020 January.

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