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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
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

Contributor
Jumper, Natalie
Radotra, Ishan
Witt, Paulina
Campbell, Niall G.
Mishra, Anuj

DOI
10.5999/aps.2018.01158
URN
urn:nbn:de:101:1-2022051210561332600872
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:37 AM CEST

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Associated

  • Jumper, Natalie
  • Radotra, Ishan
  • Witt, Paulina
  • Campbell, Niall G.
  • Mishra, Anuj

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