Postural Ventricular Tachycardia from PICC Line Placed Using Tip Confirmation System (TCS)

Andrew Clawson

Department of Emergency Medicine, Logan Hospital, Australia

^*Correspondance to: Andrew Clawson 

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Abstract:

We report a striking and florid case and management of ‘postural’ ventricular tachycardia caused by the mis-confirmed tip of a Peripherally Inserted Central Cannula (PICC) placed via a Tip Confirmation System (TCS). PICCs are widely used venous access devices in clinical practice and are largely regarded as safe and effective [1]. A rare complication of PICCs is cardiac arrythmias, including positional Ventricular Tachycardia (VT) [2,3]. Literature review of this complication reveals reliance upon Chest X-Ray (CXR) or Tip Confirmation Systems (TCS) such as the Sherlock 3CG® for confirmation of correct placement. A TCS allows for magnetic tracking of the PICC tip during insertion and confirmation of placement with ECG, meaning most patients will not require a CXR [4]. A 31-year-old female presented to our University Emergency Department complaining of position provoked palpitations for the past two days. She had non-Hodgkin’s Lymphoma (NHL) for which she was receiving intra-venous chemotherapy; a PICC line inserted into her right arm two days prior to presentation.

Keywords:

non-Hodgkin’s Lymphoma

Cite the Article:

Andrew Clawson. Postural Ventricular Tachycardia from PICC Line Placed Using Tip Confirmation System (TCS). Ann Clin Case Rep. 2024; 9: 2709..