Brachial Plexus Injury After Internal Juguler Vein Catheterization
Öz
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.
Anahtar Kelimeler
internal juguler vein, systemic lupus erythematosus, brachial plexus injury
Destekleyen Kurum
yok
Proje Numarası
yok
Teşekkür
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: +90 535 880 2561
Fax : +90 352 437 5285
E-mail: drali_ant@hotmail.com
Kaynakça
- Referans1. Onuigbo MAC, Agbasi N, Sarki B, Khan S, Wahlberg K. Pseudo-arterial Temporary Hemodialysis Catheter Placement in the Left Internal Jugular Vein Ipsilateral to a Preexisting Brachio-axillary Arteriovenous Graft. Indian Journal of Nephrology. 2020;30(1):29.
- Referans2. Turker G, Kaya FN, Gurbet A, Aksu H, Erdogan C, Atlas A. Internal jugular vein cannulation: an ultrasound-guided technique versus a landmark-guided technique. Clinics. 2009;64(10):989-92.
- Referans3. Cuhaci B, Khoury P, Chvala R. Transverse cervical artery pseudoaneurysm: a rare complication of internal jugular vein cannulation. American journal of nephrology. 2000;20(6):476-82.
- Referans4. Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, et al. Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Critical Care. 2006;10(6):1-8.
- Referans5. Leung J, Duffy M, Finckh A. Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Annals of emergency medicine. 2006;48(5):540-7.
- Referans6. Mey U, Glasmacher A, Hahn C, Gorschlüter M, Ziske C, Mergelsberg M, et al. Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients. Supportive care in cancer. 2003;11(3):148-55.
- Referans7. Denys BG, Uretsky BF, Reddy PS. Ultrasound-assisted cannulation of the internal jugular vein. A prospective comparison to the external landmark-guided technique. Circulation. 1993;87(5):1557-62.
- Referans8. Hrics P, Wilber S, Blanda MP, Gallo U. Ultrasound-assisted internal jugular vein catheterization in the ED. The American journal of emergency medicine. 1998;16(4):401-3.
- Referans9. Slama M, Novara A, Safavian A, Ossart M, Safar M, Fagon J-Y. Improvement of internal jugular vein cannulation using an ultrasound-guided technique. Intensive care medicine. 1997;23(8):916-9.
- Referans10. Stone MB, Nagdev A, Murphy MC, Sisson CA. Ultrasound detection of guidewire position during central venous catheterization. The American journal of emergency medicine. 2010;28(1):82-4.