Diagnostic and Interventional Radiology
Interventional Radiology - Review
Avoiding peripheral nerve injury in arterial interventions

Avoiding peripheral nerve injury in arterial interventions

1.

Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

2.

Department of Radiology, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA

Diagn Interv Radiol 2019; 25: 380-391
DOI: 10.5152/dir.2019.18296
Read: 65 Downloads: 17 Published: 07 October 2019

Although peripheral nerve injuries secondary to angiography and endovascular interventions are uncommon and usually not permanent, they can result in significant functional impairment. Most arteries used in access for angiography and endovascular therapies lie in close proximity to a nerve. The nerve may be injured by needle puncture, or by compression from hematoma, pseudoaneurysm, hemostasis devices, or by manual compression with incidence in literature ranging from as low as 0.04% for femoral access in a large retrospective study to 9% for brachial and axillary access. Given the increasing frequency of endovascular arterial procedures and the increasing use of nontraditional access points, it is important that the interventionalist have a working knowledge of peripheral nerve anatomy and function as it relates to relevant arterial access sites to avoid injury.

 

You may cite this article as: Kuo F, Park J, Chow K, Chen A, Walsworth MK. Avoiding peripheral nerve injury in arterial interventions. Diagn Interv Radiol 2019; 25:380–391.

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