Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome K.Craig Kent, MD, Mauro Moscucci, MD, Susan G. Gallagher,

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Presentation transcript:

Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome K.Craig Kent, MD, Mauro Moscucci, MD, Susan G. Gallagher, MSN, Susan T. DiMattia, RN, John J. Skillman, MD Journal of Vascular Surgery Volume 19, Issue 6, Pages 1008-1014 (June 1994) DOI: 10.1016/S0741-5214(94)70212-8 Copyright © 1994 Society for Vascular Surgery and the International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Hematoma or false aneurysm isolated to groin can produce anterior displacement of medial and intermediate cutaneous branches of femoral nerve resulting in sensory loss or dysesthesia involving anterior medial thigh. Both of these cutaneous nerves pass anterior to femoral bifurcation and superficial femoral artery. Journal of Vascular Surgery 1994 19, 1008-1014DOI: (10.1016/S0741-5214(94)70212-8) Copyright © 1994 Society for Vascular Surgery and the International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 CT scan demonstrates hematoma that involves right iliacus and psoas muscles. Open arrow identifies external iliac artery and vein, and closed arrow identifies internal iliac vessels. Note how hematoma displaces neurovascular bundle anteriorly and medially. Journal of Vascular Surgery 1994 19, 1008-1014DOI: (10.1016/S0741-5214(94)70212-8) Copyright © 1994 Society for Vascular Surgery and the International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Femoral, obturator, and lateral femoral cutaneous nerves pass anterior to psoas and iliacus muscles. Hematoma of these muscles can anteriorly displace these nerves, resulting in sensory and motor deficits. Journal of Vascular Surgery 1994 19, 1008-1014DOI: (10.1016/S0741-5214(94)70212-8) Copyright © 1994 Society for Vascular Surgery and the International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions