Brachial plexus injury following subclavian vein catheterization: a case report

Porzionato, Andrea; Montisci, Massimo; Manani, G

doi:10.1016/j.jclinane.2003.02.009

Cited by 30 publications

(25 citation statements)

References 7 publications

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“…Furthermore, similarly to recent series, we observed a decreasing trend for early complications. Rare major complication as described in previous studies or case series reports, such as hemothorax [19], air embolism [20], pericardial tamponade [21] and brachial plexus injury [22] did not occur in our series. At the beginning of our experience, the surgical cutdown technique in cephalic vein was used and it had the advantage of no early complications but at the price of a higher technical failure rate.…”

Section: Discussionsupporting

confidence: 59%

Totally implantable venous access devices: retrospective analysis of different insertion techniques and predictors of complications in 796 devices implanted in a single institution

et al. 2014

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BackgroundThe aim of this study was to assess the efficacy and safety of totally implanted vascular devices (TIVAD) using different techniques of insertion.MethodsWe performed a retrospective study using a prospective collected database of 796 consecutive oncological patients in which TIVADs were inserted. We focused on early and late complications following different insertion techniques (surgical cutdown, blind and ultrasound guided percutaneous) according to different techniques.ResultsUltrasound guided technique was used in 646 cases, cephalic vein cutdown in 102 patients and percutaneous blind technique in 48 patients. The overall complication rate on insertion was 7.2% (57 of 796 cases). Early complications were less frequent using the ultrasound guided technique: arterial puncture (p = 0.009), technical failure (p = 0.009), access site change after first attempt (p = 0.002); pneumothorax occurred in 4 cases, all using the blind percutaneus technique. Late complications occurred in 49 cases (6.1%) which required TIVAD removal in 43 cases and included: sepsis (29 cases), thrombosis (3 cases), dislocation (7 cases), skin dehiscence (3 cases), and severe pain (1 case).ConclusionUltrasound guided technique is the safest option for TIVAD insertion, with the lowest rates of immediate complications.

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Section: Discussionsupporting

confidence: 59%

Totally implantable venous access devices: retrospective analysis of different insertion techniques and predictors of complications in 796 devices implanted in a single institution

et al. 2014

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“…In addition, the overall complication rate was 14.5% (14 patients), consistent with that reported by several studies (range 2–14.4%) [16-19]. Rare major complications, such as hemothorax [20], air embolism [21], pericardial tamponade [22], and brachial plexus injury [23] did not occur in the present series. In addition, the plus-85 and sub-85 groups did not significantly differ in the rates of major complications, catheter-related infections, hematoma, pneumothorax, occlusion, and removal.…”

Section: Discussionsupporting

confidence: 90%

Usefulness of Totally Implantable Central Venous Access Devices in Elderly Patients: A Retrospective Study

Imaoka

Kuranishi²,

Ogawa³

2018

Ann Nutr Metab

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Background/Aims: The need for totally implantable central venous access devices (TICVADs) has increased with increased opportunities in the use of chemotherapy and parenteral nutrition. This study aimed to determine the outcomes of TICVAD implantation and use in patients aged ≥85 years. Methods: Between January 2010 and August 2016, 117 patients underwent TICVAD implantation and their records were retrospectively reviewed. Results: Participants were divided into 2 groups (plus-85 and sub-85 groups). Fifty-five patients (47.0%) had solid organ cancer alone; 35 patients (29.9%) had cerebrovascular or cranial nerve disease. The average follow-up period was 201 (2–1,620) days. Major complications were identified in 6 (14.6%) plus-85 patients and 11 (14.5%) sub-85 patients (p = 0.9813). Catheter-related infections developed in 3 plus-85 (7.3%) and 4 sub-85 patients (5.3%; p = 0.6549). There were no significant group differences in hematoma, pneumothorax, occlusion, and removal rates. In plus-85 patients examined just before surgery and a month after surgery, increased rates of serum albumin and Onodera’s prognostic nutritional index were observed in 48% (14/39) and 41% (12/39), respectively. Conclusions: The use of TICVADs in the plus-85 group resulted in effective outcomes. The results of this retrospective study support the wider use of TICVADs in patients aged ≥85 years.

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“…[8][9][10][11] Brachial plexus injury can result from compression (by an aneurysm or tumor) or from direct plexus puncture and application of local anesthesia or mechanical injury. [12] Iatrogenic brachial plexus neuropathy has been reported rarely as a result of central venous cannulation (less than 10 cases reported), and consequently, there is not enough experience in the treatment of this type of lesion using endovascular procedure. [9] However, application of covered endovascular endoprostheses in the subclavian artery has been more widely accepted as a reliable minimally invasive modality to exclude arteriovenous fistulas and aneurysms, facilitating a reduction in hospitalization time and blood loss and avoiding the need for general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Urgent endovascular treatment of iatrogenic subclavian artery rupture: report of three cases.

Leonardou¹,

Pappas²

2012

Ulus Travma Acil Cerrahi Derg

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Brachial plexus injury following subclavian vein catheterization: a case report

Cited by 30 publications

References 7 publications

Totally implantable venous access devices: retrospective analysis of different insertion techniques and predictors of complications in 796 devices implanted in a single institution

Totally implantable venous access devices: retrospective analysis of different insertion techniques and predictors of complications in 796 devices implanted in a single institution

Usefulness of Totally Implantable Central Venous Access Devices in Elderly Patients: A Retrospective Study

Urgent endovascular treatment of iatrogenic subclavian artery rupture: report of three cases.

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