Ali GÜNDOĞDU, Sümeyra ÖZBERK, Cihan UYSAL, Yakub PATAT, İsmail KOÇYİĞİT, Murat SİPAHİOĞLU, Bülent TOKGÖZ, Oktay OYMAK

İnternal Jugüler Ven Kateterizasyonu Sonrası Brakiyal Pleksus Yaralanması

Santral venöz kateterler genellikle hem akut hem de kronik böbrek yetmezliği hastalığında hemodiyalize ihtiyaç duyan üremik hastalar için bir vasküler erişim olarak kullanılır. Farklı lokasyonlar arasında, kateter için en çok tercih edilen erişim, daha az yan etkisinden dolayı internal juguler vendir (İJV). Burada perkütan IJV kateterizasyonunun bir komplikasyonu olarak brakiyal pleksus yaralanması olgusunu sunuyoruz. 25 yaşındaki gebe bir kadında lupus nefritine bağlı akut böbrek yetmezliği geliştikten sonra; üremik semptomları olduğu için gebelik sonlandırıldı ve hemodiyaliz tedavisi uygulandı. İJV kateterinin yerleştirilmesinden sonra brakiyal pleksus hasarı meydana geldi. Doktor yeterli deneyime sahipse, IJV kanülasyonu güvenli bir prosedürdür. Kateterizasyon sonrası ipsilateral üst ekstremite hareketlerinde güçsüzlük gelişirse doktorların brakiyal pleksus yaralanmasıdan şüphelenmesi gerekir.

Anahtar Kelimeler:

internal juguler ven, sistemik lupus eritematozus, brakial pleksus yaralanması

Brachial Plexus Injury After Internal Juguler Vein Catheterization

Central venous catheters are often used as a vascular access for uremic patients who need hemodialysis in both acute and chronic renal failure disease. Among different locations, the most preferable access for catheter is internal jugular vein (IJV) due to its less adverse effects. Herein, we present case of brachial plexus injuries (BPI) as a complication of percutaneous IJV catheterization. After the development of acute renal failure due to lupus nephritis in a 25-years-old pregnant woman; pregnancy was terminated and hemodialysis treatment administered since she has uremic symptoms. Brachial plexus injury occurred after the insertion of IJV catheter. IJV catheterization is safe procedure if the doctor has enough experience. If weakness develops in ipsilateral upper extremity movements after catheterization, doctors should be suspected of BPI.

Keywords:

internal juguler vein, systemic lupus erythematosus, brachial plexus injury,

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Referans1. Onuigbo MAC, Agbasi N, Sarki B, Khan S, Wahlberg K. Pseudo-arterial Temporary Hemodialysis Catheter Placement in the Left Internal Jugular Vein Ipsilateral to a Preexisting Brachio-axillary Arteriovenous Graft. Indian Journal of Nephrology. 2020;30(1):29.
Referans2. Turker G, Kaya FN, Gurbet A, Aksu H, Erdogan C, Atlas A. Internal jugular vein cannulation: an ultrasound-guided technique versus a landmark-guided technique. Clinics. 2009;64(10):989-92.
Referans3. Cuhaci B, Khoury P, Chvala R. Transverse cervical artery pseudoaneurysm: a rare complication of internal jugular vein cannulation. American journal of nephrology. 2000;20(6):476-82.
Referans4. Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, et al. Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Critical Care. 2006;10(6):1-8.
Referans5. Leung J, Duffy M, Finckh A. Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Annals of emergency medicine. 2006;48(5):540-7.
Referans6. Mey U, Glasmacher A, Hahn C, Gorschlüter M, Ziske C, Mergelsberg M, et al. Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients. Supportive care in cancer. 2003;11(3):148-55.
Referans7. Denys BG, Uretsky BF, Reddy PS. Ultrasound-assisted cannulation of the internal jugular vein. A prospective comparison to the external landmark-guided technique. Circulation. 1993;87(5):1557-62.
Referans8. Hrics P, Wilber S, Blanda MP, Gallo U. Ultrasound-assisted internal jugular vein catheterization in the ED. The American journal of emergency medicine. 1998;16(4):401-3.
Referans9. Slama M, Novara A, Safavian A, Ossart M, Safar M, Fagon J-Y. Improvement of internal jugular vein cannulation using an ultrasound-guided technique. Intensive care medicine. 1997;23(8):916-9.
Referans10. Stone MB, Nagdev A, Murphy MC, Sisson CA. Ultrasound detection of guidewire position during central venous catheterization. The American journal of emergency medicine. 2010;28(1):82-4.
Referans11. Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF. Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization. Cochrane Database of Systematic Reviews. 2015(1).
Referans12. Shin H-J, Na H-S, Koh W-U, Ro Y-J, Lee J-M, Choi Y-J, et al. Complications in internal jugular vs subclavian ultrasound-guided central venous catheterization: a comparative randomized trial. Intensive care medicine. 2019;45(7):968-76.
Referans13. Defalque RJ, Fletcher MV. Neurological complications of central venous cannulation. Journal of Parenteral and Enteral Nutrition. 1988;12(4):406-9.
Referans14. Briscoe C, Bushman J, McDonald W. Extensive neurological damage after cannulation of internal jugular vein. British medical journal. 1974;1(5903):314.
Referans15. Garcia EG, Wijdicks EF, Younge BR. Neurologic complications associated with internal jugular vein cannulation in critically ill patients: a prospective study. Neurology. 1994;44(5):951-.
Referans16. Yoshikawa T, Hayashi N, Yamamoto S, Tajiri Y, Yoshioka N, Masumoto T, et al. Brachial plexus injury: clinical manifestations, conventional imaging findings, and the latest imaging techniques. Radiographics. 2006;26(suppl_1):S133-S43.
Referans17. Thatte MR, Babhulkar S, Hiremath A. Brachial plexus injury in adults: Diagnosis and surgical treatment strategies. Annals of Indian Academy of Neurology. 2013;16(1):26.
Referans18. Ferrante MA. Brachial plexopathies: classification, causes, and consequences. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine. 2004;30(5):547-68.
Referans19. Kaiser R, Waldauf P, Ullas G, Krajcová A. Epidemiology, etiology, and types of severe adult brachial plexus injuries requiring surgical repair: systematic review and meta-analysis. Neurosurgical review. 2020;43(2):443-52.
Referans20. Chanlalit C, Vipulakorn K, Jiraruttanapochai K, Mairiang E, Chowcheun P. Value of clinical findings, electrodiagnosis and magnetic resonance imaging in the diagnosis of root lesions in traumatic brachial plexus injuries. J Med Assoc Thai. 2005;88(1):66-70.
Referans21. Ochi M, Ikuta Y, Watanabe M, KIMOR K, Itoh K. The diagnostic value of MRI in traumatic brachial plexus injury. Journal of Hand Surgery. 1994;19(1):55-9.
Referans22. Ünlü Y, Velioğlu Y, Koçak H, Becit N, Ceviz M. Brachial plexus injury following median sternotomy. Interactive cardiovascular and thoracic surgery. 2007;6(2):235-7.
Referans23. Narakas A. The treatment of brachial plexus injuries. International orthopaedics. 1985;9(1):29-36.
Referans24. Nagano A. Treatment of brachial plexus injury. Journal of Orthopaedic Science. 1998;3(1):71-80.