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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