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VOLUME 11 , ISSUE 2 ( April, 2007 ) > List of Articles


Brachial plexus palsy due to subclavian artery pseudo aneurysm from internal jugular cannulation

Veena R. Shah, Manisha P. Modi

Keywords : Brachial plexus palsy, internal jugular vein cannulation, subclavian pseudoanaeurysm

Citation Information : Shah VR, Modi MP. Brachial plexus palsy due to subclavian artery pseudo aneurysm from internal jugular cannulation. Indian J Crit Care Med 2007; 11 (2):93-95.

DOI: 10.4103/0972-5229.33392

License: CC BY-ND 3.0

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2007; The Author(s).


Internal jugular vein is the preferred route for central venous cannulation because of easy accessibility and high success rate. Arterial puncture is the most common complication, the reported incidence being 9.3%. However, brachial plexus palsy following arterial puncture is a rare complication of this procedure. We report a case of brachial plexus palsy due to compression by right subclavian pseudoaneurysm as a result of internal jugular vein cannulation in chronic renal failure patient.

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  1. Pseudoaneurysms. In: Rutherford RB, editor. Vascular Surgery. 4 th ed. W B Saunders: Philadelphia; 1995. p. 1153-61.
  2. Arterial injuries following diagnostic, therapeutic and accidental arterial cannulation in haemodialysis patients. Nephrol Dial Transplant 1997;12:1448-52.
  3. Surgery: Scientific principles and practice. Lippincott: Philadelphia; 1993. p. 1683.
  4. Brachial plexus compression: Complication of delayed recognition of arterial injuries of the shoulder girdle. Arch Surg 1981;116:175-8.
  5. Subclavian artery false aneurysm associated with brachial plexus palsy: A complication of parenteral drug addiction. Am J Emerg Med 1990;8:129-33.
  6. Delayed weakness following a gunshot wound. Postgrad Med 1991;90:219-20.
  7. Delayed brachial plexus paralysis due to subclavian pseudoaneurysm after clavicular fracture. Eur J Cardiothorac Surg 1993;7:497-8.
  8. Thrombin injection for treating a subclavian artery pseudoaneurysm. Surgery 2000;127:716-8.
  9. Endovascular stented graft repair of a pseudoaneurysm of the subclavian artery caused by percutaneous internal jugular vein cannulation: Case report. Am J Crit Care 1995;4:472-5.
  10. Transluminally placed endovascular stented graft repair for arterial trauma. J Vasc Surg 1994;20:466-73.
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