Brachial plexus impingement secondary to implantable cardioverter defibrillator: A case report
Overall complication rates of 9.1% have been reported following implantable cardioverter defibrillator (ICD) placement. Brachial plexus injury is infrequently reported in the literature. We describe a 26-year-old female experiencing left arm nerve pain, a positive Tinel’s sign, numbness in the median nerve distribution of the hand and biceps muscle weakness following revision ICD via subclavian vein approach. Nerve conduction studies identified severe partial left brachial plexopathy, which remained incompletely resolved with conservative management. Surgical exploration revealed lateral cord impingement by the ICD generator and a loop of the ICD lead, along with fibrosis, necessitating surgical neurolysis and ICD generator repositioning. As increasing numbers of patients undergo cardiac device implantation, it is incumbent on practitioners to be aware of potential increases in the prevalence of this complication.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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Brachial plexus impingement secondary to implantable cardioverter defibrillator: A case report ; volume:46 ; number:06 ; year:2019 ; pages:594-598
Archives of Plastic Surgery ; 46, Heft 06 (2019), 594-598
- Beteiligte Personen und Organisationen
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Jumper, Natalie
Radotra, Ishan
Witt, Paulina
Campbell, Niall G.
Mishra, Anuj
- DOI
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10.5999/aps.2018.01158
- URN
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urn:nbn:de:101:1-2022051210561332600872
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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15.08.2025, 07:37 MESZ
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Beteiligte
- Jumper, Natalie
- Radotra, Ishan
- Witt, Paulina
- Campbell, Niall G.
- Mishra, Anuj
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