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Critical Care: Fellow Case Report Poster - Critical Care III |

Recurrent Ventricular Dysrhythmias Following Placement of a Peripherally Inserted Central Catheter Using Intracavitary ECG Guidance

Jennifer Cabot, MD; Caroline Shirzadi, NP; Louis Voigt, MD; Stephen Pastores, MD; Neil Halpern, MD
Author and Funding Information

Memorial Sloan Kettering Cancer Center, New York, NY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):252A. doi:10.1016/j.chest.2016.08.265
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SESSION TITLE: Fellow Case Report Poster - Critical Care III

SESSION TYPE: Affiliate Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Peripherally inserted central catheter (PICC) placement using anthropometric measurements is inaccurate, with malpositioning rates of up to 76%. In contrast, intracavitary electrocardiogram (ECG) guidance achieves a malpositioning rate of 0-21% with no reported complications.1-2 Nevertheless, adverse events with PICC insertion using intracavitary ECG guidance may be under-reported. We describe a case of PICC insertion using the Sherlock 3CG TCS® that resulted in catheter tip malpositioning in the deep right atrium, leading to recurrent ventricular dysrhythmias.

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