{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:11:45Z","timestamp":1777936305986,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T00:00:00Z","timestamp":1745712000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Atrial flutter (AFL) is a rare, yet potentially life-threatening tachyarrhythmia of newborns, typically associated with structural heart disease or cardiac surgery. Rarely, AFL might occur as a complication of central venous catheter (CVC) insertion, though data on its incidence and management are limited. Herein, we report the case of a full-term male newborn in therapy with heparin for left iliac thrombosis who developed AFL after a CVC placement. The persistent tachycardia (220\u2009beats per minute) had a narrow QRS and was diagnosed as AFL based on the ECG following adenosine administration; an electrical cardioversion was needed in order to restore the sinus rhythm. Such case highlights the crucial role of real-time tip location techniques in supporting the CVC placement. Indeed, the real-time ultrasound at the bedside might be extremely helpful to promptly assess a CVC mispositioning, allowing for timely and correct management. In conclusion, this case underscores the critical role of real-time ultrasound or intracavitary ECG (IC-ECG) to prevent CVC-related complications and the need for further research into optimizing management strategies for such complications.<\/jats:p>","DOI":"10.1177\/11297298251334193","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T02:25:59Z","timestamp":1745807159000},"page":"372-376","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Atrial flutter after insertion of venous catheter in a newborn"],"prefix":"10.1177","volume":"27","author":[{"given":"Miriam","family":"Iannizzotto","sequence":"first","affiliation":[{"name":"Department of Molecular Medicine and Development, Clinical Paediatrics, University of Siena, Policlinico \u201cSanta Maria alle Scotte,\u201d Siena, Tuscany, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4753-415X","authenticated-orcid":false,"given":"Martino","family":"Landi","sequence":"additional","affiliation":[{"name":"Women and Children\u2019s Department, Division of Neonatal Intensive Care, University Senese Hospital Company, Policlinico \u201cSanta Maria alle Scotte,\u201d Siena, Tuscany, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3947-1061","authenticated-orcid":false,"given":"Caterina","family":"Coradeschi","sequence":"additional","affiliation":[{"name":"Women and Children\u2019s Department, Division of Neonatal Intensive Care, University Senese Hospital Company, Policlinico \u201cSanta Maria alle Scotte,\u201d Siena, Tuscany, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Cecchi","sequence":"additional","affiliation":[{"name":"Women and Children\u2019s Department, Division of Neonatal Intensive Care, University Senese Hospital Company, Policlinico \u201cSanta Maria alle Scotte,\u201d Siena, Tuscany, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Mugnai","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Department, Division of Cardiology, University Hospital of Verona, Verona, Veneto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Malandrino","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Vascular Department, Division of Cardiology, University Senese Hospital Company, Policlinico \u201cSanta Maria alle Scotte,\u201d Siena, Tuscany, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Tomasini","sequence":"additional","affiliation":[{"name":"Women and Children\u2019s Department, Division of Neonatal Intensive Care, University Senese Hospital Company, Policlinico \u201cSanta Maria alle Scotte,\u201d Siena, Tuscany, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.24207\/jca.v32n4.3293_PT"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12155"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.04.091"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.24953\/turkjped.2018.03.011"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6206358"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccep.2018.02.008"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001206"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1542\/neo.21-9-e605"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1743668"},{"key":"e_1_3_2_11_2","volume-title":"Raccomandazioni GAVeCeLT 2024 per la indicazione, l\u2019impianto e la gestione dei dispositivi per accesso venoso","author":"Pittiruti M","year":"2024","unstructured":"Pittiruti M, Scoppettuolo G. Raccomandazioni GAVeCeLT 2024 per la indicazione, l\u2019impianto e la gestione dei dispositivi per accesso venoso. GAVeCeLT, 2024."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000901"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2015.11.007"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccep.2022.05.005"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1590\/s1980-220x2017009603269"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/1658-354X.97023"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3287"},{"key":"e_1_3_2_18_2","article-title":"Real-time ultrasound tip location reduces malposition and radiation exposure during epicutaneo-caval catheter placement in neonates","volume":"41","author":"D\u2019Andrea V","year":"2024","unstructured":"D\u2019Andrea V, Prontera G, Cota F, et al. Real-time ultrasound tip location reduces malposition and radiation exposure during epicutaneo-caval catheter placement in neonates. 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