Brachial plexus injury during subclavian vein catheterization for hemodialysis.
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.
Karakaya
D
D
Department of Anesthesiology, Ondokuz Mayis University, Samsun, Turkey.denizkarakaya@hotmail.com
Baris
S
S
Güldogus
F
F
Incesu
L
L
Sarihasan
B
B
Tür
A
A
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