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Supportive Care in Cancer
Published in: Supportive Care in Cancer 7/2011

01-07-2011 | Short Communication

Frequent AV node reentrant tachycardia induced by oversized port catheter

Authors: Stefan Andreas Lange, Jens Jung

Published in: Supportive Care in Cancer | Issue 7/2011

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Abstract

Purpose

Here, we describe the efficiency of interventional electrophysiology therapy in a critically ill patient with heart failure because of incessant AV node reentrant tachycardia after surgical port implantation.

Methods

Electrophysiology diagnostic and radio frequency ablation were utilized in the study.

Result

We presented a 78-year-old patient with colorectal cancer, surgical port implantation, and progressive heart failure due to an incessant AV node reentrant tachycardia (AVNRT). This rhythm disturbance was refractory to any conventional pharmaceutical treatment. The electrophysiology diagnostic obtained an AVNRT. During fluoroscopy, an oversized port catheter with a loop touching the tricuspid valve annulus was discovered. This port catheter was responsible for premature beats, which induced incessant AVNRT. A manual reposition of the port edge and additional AV node slow pathway modification terminated further tachycardia.

Conclusion

Electrophysiology diagnostic and radiofrequency ablation procedures are promising techniques also in critically ill patients with hemodynamic compromising supraventricular tachycardia.
Literature
1.
Herrmann KA, Waggershauser T, Helmberger T, Heinemann V, Sittek H, Reiser M (1999) Percutaneous interventional radiologic implantation of intravenous port-catheter systems. Radiologe 39(9):777–782PubMedCrossRef
2.
Abdul-Rauf A, Gauderer M, Chiarucci K, Berman B (1995) Long-term central venous access in patients with sickle cell disease. Incidence of thrombotic and infectious complications. J Pediatr Hematol Oncol 17(4):342–345PubMedCrossRef
3.
Gebauer B, El-Sheik M, Vogt M, Wagner HJ (2009) Combined ultrasound and fluoroscopy guided port catheter implantation—high success and low complication rate. Eur J Radiol 69(3):517–522PubMedCrossRef
4.
Deerojanawong J, Sawyer SM, Fink AM, Stokes KB, Robertson CF (1998) Totally implantable venous access devices in children with cystic fibrosis: incidence and type of complications. Thorax 53(4):285–289PubMedCrossRef
5.
Gowda MR, Gowda RM, Khan IA et al (2004) Positional ventricular tachycardia from a fractured mediport catheter with right ventricular migration—a case report. Angiology 55(5):557–560PubMedCrossRef
6.
Oz K, Demirhan R, Onan B, Sancakli I (2009) Pulmonary artery pseudoaneurysm after a vascular access port catheter implantation. Ann Thorac Surg 87(1):295–297PubMedCrossRef
7.
Denny MA, Frank LR (2003) Ventricular tachycardia secondary to Port-a-Cath fracture and embolization. J Emerg Med 24(1):29–34PubMedCrossRef
8.
Jackman WM, Beckman KJ, McClelland JH et al (1992) Treatment of supraventricular tachycardia due to atrioventricular nodal reentry, by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med 327(5):313–318PubMedCrossRef
Metadata
Title
Frequent AV node reentrant tachycardia induced by oversized port catheter
Authors
Stefan Andreas Lange
Jens Jung
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 7/2011
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-011-1145-5

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