Brachial Plexus Injury After Internal Juguler Vein Catheterization

Year 2022, Volume: 17 Issue: 1, 212 - 215, 21.03.2022

Ali Gündoğdu Sümeyra Özberk Cihan Uysal Yakub Patat İsmail Koçyiğit Murat Sipahioğlu Bülent Tokgöz Oktay Oymak

https://doi.org/10.17517/ksutfd.856895

Abstract

Central venous catheters are often used as a vascular access for uremic patients who need hemodialysis in both acute and chronic renal failure disease. Among different locations, the most preferable access for catheter is internal jugular vein (IJV) due to its less adverse effects. Herein, we present case of brachial plexus injuries (BPI) as a complication of percutaneous IJV catheterization. After the development of acute renal failure due to lupus nephritis in a 25-years-old pregnant woman; pregnancy was terminated and hemodialysis treatment administered since she has uremic symptoms. Brachial plexus injury occurred after the insertion of IJV catheter. IJV catheterization is safe procedure if the doctor has enough experience. If weakness develops in ipsilateral upper extremity movements after catheterization, doctors should be suspected of BPI.

Keywords

internal juguler vein, systemic lupus erythematosus, brachial plexus injury

Supporting Institution

yok

Project Number

yok

Thanks

Dear Professor We are pleased to submit our manuscript entitled “BRACIAL PLEXUS INJURY AFTER INTERNAL JUGULER VEIN CATHETERİZATION” that we wish to be considered for publication as a case report in your journal. Usage of dialysis catheter is still very common in hemodialysis patients according to the annual report of the United States Kidney Data System (USRDS) and approximately 63% of patients used a catheter for vascular access for the first dialysis treatment in the USA. The most preferable access for catheter is internal jugular vein (IJV) due to its less adverse effects. Herein, we aimed to present case of brachial plexus injuries (BPI) as a complication of percutaneous IJV catheterization. A 25-years-old woman was hospitalized due to hyperemesis gravidarum. Pregnancy was terminated after the development of acute renal failure due to lupus nephritis. Hemodialysis was performed because the patient had uremic symptoms. After the insertion of the right IJV cannulation, the patient was developed weakness in the right upper limb. Electromyography was performed and results was compatible with right brachial plexopathy interpretation. IJV without USG guidance may lead to complications in patients who need acute dialysis. If there are weakness, numbness, loss of sensation, pain, loss of movement in the upper extremity after catheterization; should take into consideration for BPI. We know that your journal publishes original case reports defining latest findings to relate to kidney diseases, so we submit our case report to your journal with the hope of publication. All the authors of this study directly participated in the planning, execution, or writing of this case report and they read and approved the final version submitted. This case has not been copyrighted or published previously. This study does not bear any conflict. Yours sincerely, ALI GUNDOGDU, M.D. Erciyes University School of Medicine Department of Nephrology 38039 Kayseri, TURKEY Telephone: [phone] Fax : [phone] E-mail: [e-mail]

İnternal Jugüler Ven Kateterizasyonu Sonrası Brakiyal Pleksus Yaralanması

Abstract

Santral venöz kateterler genellikle hem akut hem de kronik böbrek yetmezliği hastalığında hemodiyalize ihtiyaç duyan üremik hastalar için bir vasküler erişim olarak kullanılır. Farklı lokasyonlar arasında, kateter için en çok tercih edilen erişim, daha az yan etkisinden dolayı internal juguler vendir (İJV). Burada perkütan IJV kateterizasyonunun bir komplikasyonu olarak brakiyal pleksus yaralanması olgusunu sunuyoruz. 25 yaşındaki gebe bir kadında lupus nefritine bağlı akut böbrek yetmezliği geliştikten sonra; üremik semptomları olduğu için gebelik sonlandırıldı ve hemodiyaliz tedavisi uygulandı. İJV kateterinin yerleştirilmesinden sonra brakiyal pleksus hasarı meydana geldi. Doktor yeterli deneyime sahipse, IJV kanülasyonu güvenli bir prosedürdür. Kateterizasyon sonrası ipsilateral üst ekstremite hareketlerinde güçsüzlük gelişirse doktorların brakiyal pleksus yaralanmasıdan şüphelenmesi gerekir.

Keywords

internal juguler ven, sistemik lupus eritematozus, brakial pleksus yaralanması

Project Number

yok

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