Journal Search Engine
Search Advanced Search Adode Reader(link)
Download PDF Export Citaion korean bibliography PMC previewer
ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.2 pp.78-80
DOI :

Severe Hypotension and Supraventricular Tachycardia during Central Venous Catheterization

Sang Hun Kim*, Ki Tae Jung, Ju Young Lee, Byung Sik Yu
Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University
(Received April 23, 2013; Accepted June 25, 2013)

Abstract

Central venous catheterization can induce cardiac arrhythmias, such as, premature atrial or ventricular complexes, which aretypically transient events. However, sometimes it initiates supraventricular tachycardia (SVT) with hemodynamic repercussions.We present a case of supraventricular tachycardia with cardiovascular collapse during central venous catheterizationin a 32-year-old woman with an ovarian mass who required exploratory laparotomy. At first, the guide wire was withdrawnand carotid sinus massage attempted, but the patient did not return to sinus rhythm. Eventually, reversion to sinus rhythmwas achieved after injecting adenosine.

Reference

1.Chhabra L, Spodick DH. Complete heart block-an underappreciated serious complication of central venous catheter placement. J Electrocardiol 2012; 45: 790-2.
2.Yilmazlar A, Bilgin H, Korfali G, Eren A, Ozkan U. Complications of 1303 central venous cannulations. J R Soc Med 1997; 90: 319-21.
3.da Silva PS, Waisberg J. Induction of life-threatening supraventricular tachycardia during central venous catheter placement: an unusual complication. J Pediatr Surg 2010; 45: E13-6.
4.Yavascan O, Mir S, Tekguc H. Supraventricular tachycardia following insertion of a central venous catheter. Saudi J Kidney Dis Transpl 2009; 20: 1061-4.
5.Stuart RK, Shikora SA, Akerman P, Lowell JA, Baxter JK, Apovian C, Champagne C, Jennings A, Keane-Ellison M, Bistrian BR. Incidence of arrhythmia with central venous catheter insertion and exchange. JPEN. Journal of Parenteral and Enteral Nutrition 1990; 14: 152-5.
6.Lee TY, Sung CS, Chu YC, Liou JT, Lui PW. Incidence and risk factors of guidewire-induced arrhythmia during internal jugular venous catheterization: comparison of marked and plain J-wires. Journal of Clinical Anesthesia 1996; 8: 348-51.
7.Vesely TM. Central venous catheter tip position: a continuing controversy. J Vasc Interv Radiol 2003; 14: 527- 34.
8.Lumb PD. Complications of central venous catheters. Critical Care Medicine 1993; 21: 1105-6.
9.McGee WT, Ackerman BL, Rouben LR, Prasad VM, Bandi V, Mallory DL. Accurate placement of central venous catheters: a prospective, randomized, multicenter trial. Critical Care Medicine 1993; 21: 1118-23.
10.Fiaccadori E, Gonzi G, Zambrelli P, Tortorella G. Cardiac arrhythmias during central venous catheter procedures in acute renal failure: a prospective study. J Am Soc Nephrol 1996; 7: 1079-84.
11.Hacking MB, Brown J, Chisholm DG. Position dependent ventricular tachycardia in two children with peripherally inserted central catheters (PICCs). Paediatric Anaesthesia 2003; 13: 527-9.
12.DiMarco JP, Miles W, Akhtar M, Milstein S, Sharma AD, Platia E, McGovern B, Scheinman MM, Govier WC. Adenosine for paroxysmal supraventricular tachycardia: dose ranging and comparison with verapamil. Assessment in placebo-controlled, multicenter trials. The Adenosine for PSVT Study Group. Annals of Internal Medicine 1990; 113: 104-10.
13.Akhtar M, Jazayeri MR, Sra J, Blanck Z, Deshpande S, Dhala A. Atrioventricular nodal reentry. Clinical, electrophysiological, and therapeutic considerations. Circulation 1993; 88: 282-95.
14.Brembilla-Perrot B, Houriez P, Beurrier D, Claudon O, Burger G, Vancon AC, Mock L. Influence of age on the electrophysiological mechanism of paroxysmal supraventricular tachycardias. Int J Cardiol 2001; 78: 293-8.
15.Katritsis DG, Camm AJ. Atrioventricular nodal reentrant tachycardia. Circulation 2010; 122: 831-40.