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Phrenic nerve injury after image-guided insertion of a tunnelled right internal jugular central venous catheter
Andrew Shawyer1, Samantha Chippington, Sadia Quyam
1Great Ormond Street Hospital for Sick Children, Great Ormond Street, London, WC1N 3JH, UK.
Abstract:
Central venous catheters (CVC) are now commonly inserted by radiologists. Although complications are infrequent, they must be avoided where possible and recognized when they occur. We present a 10-year-old boy who developed right hemidiaphragmatic paralysis, requiring surgical plication, following US-guided insertion of a tunnelled right internal jugular CVC. The needle trajectory for internal jugular puncture must be planned to avoid the phrenic nerve.
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