Brachial plexus injury from CT-guided RF ablation under general anesthesia

Sridhar Shankar, Eric Vansonnenberg, Stuart G. Silverman, Kemal Tuncali, Hugh L. Flanagan, Edward E. Whang

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Brachial plexus injury in a patient under general anesthesia (GA) is not uncommon, despite careful positioning and, particularly, awareness of the possibility. The mechanism of injury is stretching and compression of the brachial plexus over a prolonged period. Positioning the patient within the computed tomography (CT) gantry for abdominal or chest procedures can simulate a surgical procedure, particularly when GA is used. The potential for brachial plexus injury is increased if the case is prolonged and the patient's arms are raised above the head to avoid CT image degradation from streak artifacts. We report a case of profound brachial plexus palsy following a CT-guided radiofrequency ablation procedure under GA. Fortunately, the patient recovered completely. We emphasize the mechanism of injury and detail measures to combat this problem, such that radiologists are aware of this potentially serious complication.

Original languageEnglish (US)
Pages (from-to)646-648
Number of pages3
JournalCardiovascular and Interventional Radiology
Volume28
Issue number5
DOIs
StatePublished - Jun 1 2005

Fingerprint

Arm Injuries
Brachial Plexus
General Anesthesia
Tomography
Patient Positioning
Wounds and Injuries
Paralysis
Artifacts
Arm
Thorax
Head

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Brachial plexus injury from CT-guided RF ablation under general anesthesia. / Shankar, Sridhar; Vansonnenberg, Eric; Silverman, Stuart G.; Tuncali, Kemal; Flanagan, Hugh L.; Whang, Edward E.

In: Cardiovascular and Interventional Radiology, Vol. 28, No. 5, 01.06.2005, p. 646-648.

Research output: Contribution to journalArticle

Shankar, S, Vansonnenberg, E, Silverman, SG, Tuncali, K, Flanagan, HL & Whang, EE 2005, 'Brachial plexus injury from CT-guided RF ablation under general anesthesia', Cardiovascular and Interventional Radiology, vol. 28, no. 5, pp. 646-648. https://doi.org/10.1007/s00270-004-0282-3
Shankar, Sridhar ; Vansonnenberg, Eric ; Silverman, Stuart G. ; Tuncali, Kemal ; Flanagan, Hugh L. ; Whang, Edward E. / Brachial plexus injury from CT-guided RF ablation under general anesthesia. In: Cardiovascular and Interventional Radiology. 2005 ; Vol. 28, No. 5. pp. 646-648.
@article{2b855e37ca2141049dda7d2fe7f577f9,
title = "Brachial plexus injury from CT-guided RF ablation under general anesthesia",
abstract = "Brachial plexus injury in a patient under general anesthesia (GA) is not uncommon, despite careful positioning and, particularly, awareness of the possibility. The mechanism of injury is stretching and compression of the brachial plexus over a prolonged period. Positioning the patient within the computed tomography (CT) gantry for abdominal or chest procedures can simulate a surgical procedure, particularly when GA is used. The potential for brachial plexus injury is increased if the case is prolonged and the patient's arms are raised above the head to avoid CT image degradation from streak artifacts. We report a case of profound brachial plexus palsy following a CT-guided radiofrequency ablation procedure under GA. Fortunately, the patient recovered completely. We emphasize the mechanism of injury and detail measures to combat this problem, such that radiologists are aware of this potentially serious complication.",
author = "Sridhar Shankar and Eric Vansonnenberg and Silverman, {Stuart G.} and Kemal Tuncali and Flanagan, {Hugh L.} and Whang, {Edward E.}",
year = "2005",
month = "6",
day = "1",
doi = "10.1007/s00270-004-0282-3",
language = "English (US)",
volume = "28",
pages = "646--648",
journal = "CardioVascular and Interventional Radiology",
issn = "7415-5101",
publisher = "Springer Verlag",
number = "5",

}

TY - JOUR

T1 - Brachial plexus injury from CT-guided RF ablation under general anesthesia

AU - Shankar, Sridhar

AU - Vansonnenberg, Eric

AU - Silverman, Stuart G.

AU - Tuncali, Kemal

AU - Flanagan, Hugh L.

AU - Whang, Edward E.

PY - 2005/6/1

Y1 - 2005/6/1

N2 - Brachial plexus injury in a patient under general anesthesia (GA) is not uncommon, despite careful positioning and, particularly, awareness of the possibility. The mechanism of injury is stretching and compression of the brachial plexus over a prolonged period. Positioning the patient within the computed tomography (CT) gantry for abdominal or chest procedures can simulate a surgical procedure, particularly when GA is used. The potential for brachial plexus injury is increased if the case is prolonged and the patient's arms are raised above the head to avoid CT image degradation from streak artifacts. We report a case of profound brachial plexus palsy following a CT-guided radiofrequency ablation procedure under GA. Fortunately, the patient recovered completely. We emphasize the mechanism of injury and detail measures to combat this problem, such that radiologists are aware of this potentially serious complication.

AB - Brachial plexus injury in a patient under general anesthesia (GA) is not uncommon, despite careful positioning and, particularly, awareness of the possibility. The mechanism of injury is stretching and compression of the brachial plexus over a prolonged period. Positioning the patient within the computed tomography (CT) gantry for abdominal or chest procedures can simulate a surgical procedure, particularly when GA is used. The potential for brachial plexus injury is increased if the case is prolonged and the patient's arms are raised above the head to avoid CT image degradation from streak artifacts. We report a case of profound brachial plexus palsy following a CT-guided radiofrequency ablation procedure under GA. Fortunately, the patient recovered completely. We emphasize the mechanism of injury and detail measures to combat this problem, such that radiologists are aware of this potentially serious complication.

UR - http://www.scopus.com/inward/record.url?scp=25444484452&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=25444484452&partnerID=8YFLogxK

U2 - 10.1007/s00270-004-0282-3

DO - 10.1007/s00270-004-0282-3

M3 - Article

VL - 28

SP - 646

EP - 648

JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

SN - 7415-5101

IS - 5

ER -