Transient Complete Heart Block during Femoral Central Venous Catheter Placement in a Pediatric Patient: A Case Description and Literature Review

Author:

Weber Mark D.1,Shepard Lindsay1,Loscalzo Steven1,Fowler Jessica1,Conlon Thomas1

Affiliation:

1. Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, Philadelphia, PA

Abstract

Highlights Abstract Femoral central venous catheter (CVC) placement is a common procedure performed in the pediatric intensive care unit. Femoral CVCs have a relatively low intraprocedural complication rate compared with other access sites. We describe a case of guidewire-induced transient complete heart block during femoral CVC insertion. This complication is rare in the pediatric population. The incidence of its occurrence and guidance to prevent this complication are discussed.

Publisher

Association for Vascular Access

Subject

Medicine (miscellaneous)

Reference20 articles.

1. Central venous catheterization related complications in Pediatric Intensive Care Unit at Queen Sirikit National Institute of Child Health;Srisan;J Med Assoc Thai,2014

2. Complete heart block—an underappreciated serious complication of central venous catheter placement;Chhabra;J Electrocardiol,2012

3. Risk of developing complete heart block during bedside pulmonary artery catheterization in patients with left bundle-branch block;Morris;Arch Intern Med,1987

4. Complete heart block during central venous catheter placement in a patient with pre-existing left bundle branch block;Unnikrishnan;Br J Anaesth,2003

5. Iatrogenic transient complete heart block in a preexisting LBBB;Wani;Case Rep Crit Care,2016

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