Transient vocal cord paralysis following central venous hemodialysis catheter insertion

Günaydın, Gül Pamukçu; Gürü, Selahattin; Taş, Elif Aslan; Tanrıverdi, Fatih; Çelik, Gülhan Kurtoğlu

doi:10.1016/j.ajem.2017.08.037

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…A number of papers have reported temporary vocal cord paralysis following hemodialysis catheter placement; however, this was secondary to laryngeal nerve anaesthesia following such vascular catheter placement within the neck, and was generally unilateral [6], [7]. In these cases, the RLN paralysis was likely due to local anaesthetic infiltration around the nerve.…”

Section: Discussionmentioning

confidence: 99%

Lost for Words – Bilateral Vocal Cord Paresis following Renal Dialysis of a Thyroidectomy Patient

Gluch,

Poels

2023

CLINICMED

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A patient underwent a total thyroidectomy for a small papillary thyroid cancer. Her vocal cord function was assessed as being normal post-operatively. A week later she underwent her first veno-venous renal dialysis for deteriorating renal function during the post-operative period. Within 48 hours she had developed bilateral vocal cord paresis, presumed to be on the basis of bilateral recurrent laryngeal nerve oedema precipitated by massive fluid shifts in the fresh surgical bed. Her voice recovered over the subsequent days as her fluid balance normalized.

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Section: Discussionmentioning

confidence: 99%

Lost for Words – Bilateral Vocal Cord Paresis following Renal Dialysis of a Thyroidectomy Patient

Gluch,

Poels

2023

CLINICMED

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“…If considered other central venous devices (not implanted), one could also think in alternative causes for the UVFP. It is the case of local anesthetic usage for the procedure, where the palsy would be verified immediately after injection and would be reversible after a few hours 15 or the hematoma formation in the puncture area that could have a transitory compressive effect to the nerve. 16 Both of these causes do not seem probable in the present case, due to the timing of onset of symptoms regarding the procedure and the irreversibility of the vocal palsy.…”

Section: Discussionmentioning

confidence: 99%

Unilateral vocal fold paralysis as a port complication

et al. 2022

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Unilateral vocal fold paralysis (UVFP) is a frequent finding in otorhinolaryngology practice, but its occurrence as a port complication was very rarely described in English Literature. The authors report a 55-year-old woman with a pancreatic adenocarcinoma who presented a left vocal fold paralysis that occurred concurrently with a venous thrombosis of the left subclavian vein, where a totally implantable venous-access had been previously placed. Although the patient’s oncologic disease, that could mislead to a neoplastic cause of the UVFP, the authors came across with an unusual etiology and to their best knowledge, it is the first case of irreversible UVFP associated with onsite thrombosis of the vessel where a port was implanted. The objective of this article is to present and discuss this rare case of UVFP secondary to a port complication and to review the main mechanisms of iatrogenic vocal fold paralysis related to these devices.

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Lidocaine/epinephrine

2017

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Transient vocal cord paralysis following central venous hemodialysis catheter insertion

Cited by 6 publications

References 5 publications

Lost for Words – Bilateral Vocal Cord Paresis following Renal Dialysis of a Thyroidectomy Patient

Lost for Words – Bilateral Vocal Cord Paresis following Renal Dialysis of a Thyroidectomy Patient

Unilateral vocal fold paralysis as a port complication

Lidocaine/epinephrine

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