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Abstract

Brachial plexus injury during central venous catheter insertion is uncommon. Understanding the anatomy and the relationship between the brachial plexus and the neck veins and arteries is highly important. The brachial plexus, stellate ganglion, vagus, accessory, hypoglossal and phrenic nerves are all closely associated with the internal jugular vein. Any of these structures may be injured during cannulation attempts, with the most common complication occurring when local anesthetic injected at the time of cannulation transiently blocks these nerves.

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References

  1. Mossman DA (1975) The anatomy of infraclavicular subclavian vein catheterization and its complications. Surg Gynecol Obstet 141:769–772

    Google Scholar 

  2. Burns S, Herbison GJ (1996) Spinal accessory nerve injury as a complication of internal jugular vein cannulation. Ann Intern Med 125:700

    PubMed  CAS  Google Scholar 

  3. Depierraz B, Essinger A, Morin D et al (1989) Isolated phrenic nerve injury after apparently atraumatic puncture of the internal jugular vein. Intensive Care Med 15:132–134

    Article  PubMed  CAS  Google Scholar 

  4. Vest JV, Pereira MB, Senior RM (1980) Phrenic nerve injury associated with venipuncture of the internal jugular vein. Chest 78:777–779

    Article  PubMed  CAS  Google Scholar 

  5. Paschall RM, Mandel S (1983) Brachial plexus injury from percutaneous cannulation of the internal jugular vein. Ann Emerg Med 12:58–60

    Article  PubMed  CAS  Google Scholar 

  6. Sylvestre DL, Sandson TA, Nachmanoff DB (1991) Transient brachial plexopathy as a complication of internal jugular vein cannulation. Neurology 41:760

    PubMed  CAS  Google Scholar 

  7. Whittet HB, Boscoe MJ (1984) Isolated palsy of the hypoglossal nerve after central venous catheterization. Br Med J (Clin Res Ed) 288:1042–1043

    Article  CAS  Google Scholar 

  8. Trentman TL, Rome JD, Messick JM Jr (1996) Brachial plexus neuropathy following attempt at subclavian vein catheterization. Case report. Reg Anesth 21:163–165

    PubMed  CAS  Google Scholar 

  9. Porzionato A, Montisci M, Manani G (2003) Brachial plexus injury following subclavian vein catheterization: a case report. J Clin Anesth 15:582–586

    Article  PubMed  Google Scholar 

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Correspondence to Walid Faraj .

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© 2012 Springer-Verlag Italia

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Faraj, W., Zaghal, A. (2012). Brachial Plexus Injury. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_17

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  • DOI: https://doi.org/10.1007/978-88-470-2373-4_17

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2372-7

  • Online ISBN: 978-88-470-2373-4

  • eBook Packages: MedicineMedicine (R0)

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