Right hemi-diaphragm paralysis following cardiac radiofrequency ablation

被引:14
|
作者
Swallow, E. B.
Dayer, M. J.
Oldfield, W. L.
Moxham, J.
Polkey, M. I.
机构
[1] Royal Brompton Hosp, Resp Muscle Lab, London SW3 6NP, England
[2] Kings Coll Hosp London, Resp Muscle Lab, London, England
关键词
radiofrequency ablation; hemi-diaphragm paralysis; phrenic nerve testing;
D O I
10.1016/j.rmed.2005.12.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diaphragm paralysis may occur after traumatic phrenic nerve injury. Here we report three patients in whom right hemi-diaphragmatic paralysis developed after cardiac radiofrequency ablation. We hypothesise that local focused thermal energy at the time of the ablation may have caused direct neuronal damage by axonal coagulation necrosis. The prognosis for this type of injury may be reasonably good; two of the three patients fully recovered diaphragm function by 1 year. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1657 / 1659
页数:3
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