2019
DOI: 10.5152/dir.2019.18296
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Avoiding peripheral nerve injury in arterial interventions

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Cited by 28 publications
(21 citation statements)
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“…Moreover, the low rate of peripheral neurological complications reported by the Mayo Clinic group are hard to find in other series. 4,7,8 In this preliminary study, the access related complication of brachial cutdown was 5% due to peripheral nerve injury, while the haematoma rate was 15%. In order to lower the UEA cutdown morbidity rates, in recent years a percutaneous approach with VCDs has been proposed.…”
Section: Discussionmentioning
confidence: 73%
“…Moreover, the low rate of peripheral neurological complications reported by the Mayo Clinic group are hard to find in other series. 4,7,8 In this preliminary study, the access related complication of brachial cutdown was 5% due to peripheral nerve injury, while the haematoma rate was 15%. In order to lower the UEA cutdown morbidity rates, in recent years a percutaneous approach with VCDs has been proposed.…”
Section: Discussionmentioning
confidence: 73%
“…Neurological problems related to catheterization can vary depending on the site of arterial cannulation [ 73 ]. The most vulnerable nerves are the ulnar nerve around the ulnar artery, the median nerve around the brachial artery, the femoral nerve around the femoral artery, the posterior tibial nerve around the posterior tibial artery, and the deep peroneal nerve around the dorsalis pedis artery.…”
Section: Complications and Preventionmentioning
confidence: 99%
“…These nerves can be easily injured directly by the needle or the pressure following hematoma, pseudoaneurysm or fluid extravasation, and chemical injury [ 74 ]. The reported incidence of nerve injury varies, but median nerve damage related to brachial arterial cannulation is most common at 9%, followed by femoral nerve injury [ 73 ]. With ultrasound guidance, the anatomical relationship between the target artery and adjacent structures can be evaluated before cannulation, and the direction of the needle can be adjusted to avoid direct trauma to the nerve during arterial catheterization [ 73 ].…”
Section: Complications and Preventionmentioning
confidence: 99%
“… 11 12 Brachial plexus injury has also been reported in conjunction with trauma to the axillary artery, including complications of axillary arterial lines (eg, local thromboses, haematomas and pseudoaneurysms). 13 14 In our case, traumatic and compressive aetiologies were ruled out. The patient was never proned, nor his left arm was ever hyperabducted or cannulated by an axillary line.…”
Section: Differential Diagnosismentioning
confidence: 82%