Key result
Misplacement of an umbilical venous catheter into the right atrium induced transient ventricular tachycardia in a full-term newborn, which resolved immediately after pulling the catheter back 1 cm.
Why the study?
While umbilical venous catheters have been associated with arrhythmias, cases of associated ventricular tachycardia had not been observed.
Case Report (n=1)
No
Umbilical venous catheter misplacement in the right atrium can mechanically induce transient ventricular tachycardia in neonates, which resolves immediately upon catheter withdrawal.
UVC insertion was temporally linked to transient SVT/VT in this neonate; hypothesis-generating and should not change practice.
We report the case of a full term newborn, presenting at birth with respiratory distress and clinical signs of hypoxicischemic brain injury. To provide sedative drugs and fluids, an umbilical venous access was inserted. After the insertion of the umbilical venous catheter, the patient presented a supra ventricular tachycardia, followed by a transitory ventricular tachycardia, that stopped after the catheter was removed. To our knowledge, several case reports have described the association between umbilical venous catheter and arrhythmias but, no case of ventricular tachycardia was observed
No takes yet. Share an insight, caveat, or question.
A. Luis Sánchez (2022) conducted a case report in Neonatal Ventricular Tachycardia (n=1). Umbilical venous catheter insertion was evaluated on Occurrence of ventricular tachycardia. Misplacement of an umbilical venous catheter into the right atrium induced transient ventricular tachycardia in a full-term newborn, which resolved immediately after pulling the catheter back 1 cm.
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