title: Phrenic nerve injury after image-guided insertion of a tunnelled right internal jugular central venous catheter.
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.
authors: Great Ormond Street Hospital for Sick Children, Great Ormond Street, London, WC1N 3JH, UK.
authors: Andrew
authors: A
authors: Shawyer
authors: Samantha
authors: S
authors: Chippington
authors: Sadia
authors: S
authors: Quyam
authors: Ingram
authors: I
authors: Schulze-Neick
authors: Derek
authors: D
authors: Roebuck
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002648:Child; D017809:Fatal Outcome; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D059348:Peripheral Nerve Injuries / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D010791:Phrenic Nerve / Q000000981:diagnostic imaging* / Q000293:injuries*; D015641:Radiography, Interventional / Q000009:adverse effects*; D013902:Radiography, Thoracic / Q000009:adverse effects