Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome

K. C. Kent, M. Moscucci, S. G. Gallagher, S. T. DiMattia, J. J. Skillman, B. S. Maini

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Purpose: Neuropathy is a rare, but potentially morbid, complication of cardiac catheterization. In this study, we report the incidence of this complication and describe its clinical presentation, cause, and natural history. Methods: Between 1988 and 1993, 9585 cardiac catheterizations were performed at this institution. Patients in whom femoral neuropathy developed were identified through a cardiology registry. Hospital and outpatient records and personal interviews were used to determine the presentation and clinical course of each of these patients. Results: Peripheral neuropathy developed in 20 patients (incidence = 0.21%). Two clinical patterns emerged. In 16 patients, large retroperitoneal hematomas were documented by either computed tomography scanning or by physical examination. These patients were admitted with a lumbar plexopathy involving the femoral, obturator, or lateral femoral cutaneous nerves. Long-term follow-up revealed persistent mild sensory neuropathy in five patients and a mild motor deficit in one. In four patients a groin hematoma or false aneurysm developed which resulted, in paresthesias involving the medial and intermediate cutaneous branches of the femoral nerve. Symptoms completely resolved in all four patients, although false aneurysms were surgically repaired in two. Conclusions: Neuropathy after cardiac catheterization can be initially disabling, but it is usually completely reversible. Operation is recommended only for coexisting complications.

Original languageEnglish
Pages (from-to)1008-1014
Number of pages7
JournalJournal of Vascular Surgery
Volume19
Issue number6
StatePublished - Jan 1 1994

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Cardiac Catheterization
Incidence
Femoral Nerve
False Aneurysm
Hematoma
Femoral Neuropathy
Skin
Hospital Records
Groin
Paresthesia
Peripheral Nervous System Diseases
Thigh
Cardiology
Natural History
Physical Examination
Registries
Outpatients
Tomography
Interviews

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Kent, K. C., Moscucci, M., Gallagher, S. G., DiMattia, S. T., Skillman, J. J., & Maini, B. S. (1994). Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome. Journal of Vascular Surgery, 19(6), 1008-1014.

Neuropathy after cardiac catheterization : Incidence, clinical patterns, and long-term outcome. / Kent, K. C.; Moscucci, M.; Gallagher, S. G.; DiMattia, S. T.; Skillman, J. J.; Maini, B. S.

In: Journal of Vascular Surgery, Vol. 19, No. 6, 01.01.1994, p. 1008-1014.

Research output: Contribution to journalArticle

Kent, KC, Moscucci, M, Gallagher, SG, DiMattia, ST, Skillman, JJ & Maini, BS 1994, 'Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome', Journal of Vascular Surgery, vol. 19, no. 6, pp. 1008-1014.
Kent KC, Moscucci M, Gallagher SG, DiMattia ST, Skillman JJ, Maini BS. Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome. Journal of Vascular Surgery. 1994 Jan 1;19(6):1008-1014.
Kent, K. C. ; Moscucci, M. ; Gallagher, S. G. ; DiMattia, S. T. ; Skillman, J. J. ; Maini, B. S. / Neuropathy after cardiac catheterization : Incidence, clinical patterns, and long-term outcome. In: Journal of Vascular Surgery. 1994 ; Vol. 19, No. 6. pp. 1008-1014.
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