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Brachial plexopathy complicating central venous catheter insertion.

D A Joyce, E G Stewart-Wynne

    The Medical Journal of Australia
    |January 22, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Central venous catheter insertion can injure the brachial plexus, causing neurological deficits. This complication, though seemingly rare, highlights the need for vigilance during the infraclavicular subclavian vein approach.

    Area of Science:

    • Neurology
    • Vascular Surgery
    • Medical Procedures

    Background:

    • Central venous catheterization is a common medical procedure.
    • The infraclavicular approach to the subclavian vein is frequently used for catheter insertion.
    • Potential complications include vascular and neurological injuries.

    Observation:

    • A patient developed clinical and electrophysiological evidence of lower brachial plexus cord injury post-central venous catheterization.
    • The injury occurred after insertion via the infraclavicular approach to the subclavian vein.

    Findings:

    • Brachial plexopathy is identified as a complication of central venous catheterization.
    • This neurological injury may be underreported due to anatomical factors or subtle presentation.

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    Implications:

    • Awareness of potential brachial plexus injury is crucial for clinicians performing this procedure.
    • Further investigation may be needed to fully understand the incidence and mechanisms of this complication.
    • This finding expands the spectrum of known risks associated with central venous access procedures.