Published in:
01-07-2012 | Case Report
Phrenic nerve injury after image-guided insertion of a tunnelled right internal jugular central venous catheter
Authors:
Andrew Shawyer, Samantha Chippington, Sadia Quyam, Ingram Schulze-Neick, Derek Roebuck
Published in:
Pediatric Radiology
|
Issue 7/2012
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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.