Persistent atrial fibrillation during insertion of central venous catheter with the catheter-over-guidewire device
Nakajima, Y.; Arai, T.; Hatano, Y.
Masui. Japanese Journal of Anesthesiology 36(7): 1123-1125
1987
ISSN/ISBN: 0021-4892 PMID: 3682176 Document Number: 290327
The catheter-over-guidewire device has been widely used for the central venous catheterization. This technique has the advantage over the catheter-through-cannula technique; the initial puncture of the vein can be performed with a smaller gauge needle. However, the use of guidewire is unavoidable for the placement of the catheter. We describe a patient in whom persistent atrial fibrillation occurred immediately after the insertion of guidewire via right subclavian vein. This arrhythmia was successfully reverted to normal sinus rhythm with DC counter shock. The possibility of causing arrhythmia by the use of guidewire is emphasized in the present paper.