Central venous catheters and arrhythmia: Two unusual cases. Issue 2 (March 2021)

• Record Type: Journal Article
• Authors: Sosa Barrios, R Haridian; Lefroy, David; Ashby, Damien; Duncan, Neill
• Is Part Of: Journal of vascular access. Volume 22:Issue 2(2021)
• Page Start: 319
• Page End: 321
• Publication Date: 2021-03
• Subjects: Dialysis lines -- catheter-related arrhythmia -- line position -- catheters -- dialysis access -- dialysis access complication; Arterial catheterization -- Periodicals; Intravenous catheterization -- Periodicals; 612.13
• DOI: 10.1177/1129729820915326
• Languages: English
• ISSNs: 1129-7298

Abstract

Jugular Tesio lines (TesioCaths; MedCOMP, Harleysville, PA, USA) are frequently used as permanent vascular accesses in haemodialysis patients. During the insertion procedure, arrhythmias are a relatively common complication, usually related to an excessively advanced catheter tip, without major consequences. We present two cases of life-threatening arrhythmias triggered by the Tesio catheter eccentric high-velocity jet of blood resolved after reposition of the catheter without further episodes, despite both lines being inserted under real-time ultrasound and fluoroscopic guidance. We believe dialysis lines should be checked for tip position even when long-standing to prevent relevant complications due to catheter sliding.