title: Brachial plexus injury during subclavian vein catheterization for hemodialysis.
abstract: Although the subclavian vein is often used for placement of double-lumen hemodialysis catheters, the risk factors for complications for the patients with chronic renal failure are underestimated. We report a case of a patient with chronic renal failure in whom brachial plexus injury was caused by both a compressive hematoma and direct insertion of a needle resulting from a subclavian vein catheterization attempt for hemodialysis. This case emphasizes the need for determining the coagulation status of the patient especially with chronic renal failure before performing invasive procedures.
authors.affiliation: Department of Anesthesiology, Ondokuz Mayis University, Samsun, Turkey.denizkarakaya@hotmail.com
authors.forename: D
authors.initials: D
authors.lastname: Karakaya
authors.forename: S
authors.initials: S
authors.lastname: Baris
authors.forename: F
authors.initials: F
authors.lastname: Güldogus
authors.forename: L
authors.initials: L
authors.lastname: Incesu
authors.forename: B
authors.initials: B
authors.lastname: Sarihasan
authors.forename: A
authors.initials: A
authors.lastname: Tür
mesh_terms: D000328:Adult; D001917:Brachial Plexus / Q000293:injuries*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000150:complications; D006801:Humans; D006435:Renal Dialysis / Q000009:adverse effects*; D013350:Subclavian Vein