So far I have had 2 recent cases that developed an arrhythmia post PICC insertion.
Case 1 developed a fib. PICC had to be retracted several cm before arrhythmia resolved. This PICC was inserted the conventional method of measure and post insertion cxr.
Case 2 developed clusters of vtach. This PICC was inserted using 3cg with perfect tracing on insertion. V tach resolved retracting PICC 2 cm.
I plan on doing my own lit search. But have 2 cases within six months now makes me wonder if there were any predicitive factors that were missed. Both patients were under 45 and otherwise healthy.