Abstract
Objectives We conducted this study to review our experience performing electrocardiography-guided
peripherally inserted central catheter insertion in patients with atrial fibrillation.
Materials and Methods This is a retrospective study of PICC insertions performed by interventional radiology
technologists using electrocardiogram guidance in patients with atrial fibrillation.
The study included 99 PICCs inserted using electrocardiography guidance in 79 patients
diagnosed with atrial fibrillation. Chest X-ray is used to confirm tip position.
Results We reviewed all PICCs inserted in patients with atrial fibrillation using electrocardiography
guidance between September 2017 and June 2022. The review process included success
and malposition rates using X-ray correlation. Ninety-four out of 99 PICCs were successfully
inserted, and 5 cases required repositioning.
Conclusion Our study suggests that electrocardiography navigation can be safely used for PICC
insertion in patients with atrial fibrillation with high success rate.
Keywords
atrial fibrillation - echocardiography guided PICC - interventional radiology technologist
- PICC
