Document Detail

Hemorrhagic compression of the phrenic nerve after streptokinase infusion.
MedLine Citation:
PMID:  2920082     Owner:  NLM     Status:  MEDLINE    
A 72-year-old woman with acute myocardial infarction underwent intravenous streptokinase therapy following an unsuccessful attempt at right subclavian vein catheterization. Three hours after initiation of therapy, chest radiograph revealed a markedly elevated right hemidiaphragm. Subsequent computed tomography and fluoroscopy of the chest revealed paralysis of the phrenic nerve by hematoma. This case demonstrates the hazards of attempted cannulation of noncompressible vessels when fibrinolytic therapy is anticipated.
D C Seaberg; T Generalovich
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  7     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-04-20     Completed Date:  1989-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  185-6     Citation Subset:  IM    
University of Pittsburgh Affiliated Residency in Emergency Medicine, PA 15213.
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MeSH Terms
Catheterization, Central Venous / adverse effects*
Hematoma / complications*,  etiology
Infusions, Intravenous
Myocardial Infarction / therapy
Nerve Compression Syndromes / etiology*
Phrenic Nerve*
Streptokinase / administration & dosage,  adverse effects*
Reg. No./Substance:
EC 3.4.-/Streptokinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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