Journal of clinical neuromuscular disease · 2013
Brachial plexus injury associated with extracorporeal membrane oxygenation.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Mittal Manoj K, Schears Gregory J, Wijdicks Eelco F
Аннотация
INTRODUCTION: Extracorporeal membrane oxygenation (ECMO) is a cardiopulmonary support system. We present 2 patients of ECMO-related brachial plexus injury.
METHODS: Patients were selected from a registry of 154 patients treated with ECMO from January 2002 to September 2011.
RESULTS: Five patients had unilateral arm weakness after the initiation of ECMO therapy. There was no neurological examination or electrophysiological testing data available for 3 patients. Diagnosis of brachial plexus injury was confirmed in 2 patients, one based on neurological examination and one based on electrophysiological testing.
DISCUSSION: Axillary artery cannulation resulting in hematoma formation was identified as a probable risk factor for brachial plexus injury in our 2 patients.
METHODS: Patients were selected from a registry of 154 patients treated with ECMO from January 2002 to September 2011.
RESULTS: Five patients had unilateral arm weakness after the initiation of ECMO therapy. There was no neurological examination or electrophysiological testing data available for 3 patients. Diagnosis of brachial plexus injury was confirmed in 2 patients, one based on neurological examination and one based on electrophysiological testing.
DISCUSSION: Axillary artery cannulation resulting in hematoma formation was identified as a probable risk factor for brachial plexus injury in our 2 patients.