Brachial plexus injury associated with extracorporeal membrane oxygenation

J Clin Neuromuscul Dis. 2013 Sep;15(1):24-7. doi: 10.1097/CND.0b013e3182a04634.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Brachial Plexus Neuropathies / etiology*
  • Extracorporeal Membrane Oxygenation / adverse effects*
  • Female
  • Humans
  • Male
  • Middle Aged