Brachial plexus injury during open heart surgery - Controlled prospective study

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dc.authoridHalici, Umit/0000-0002-1289-8829
dc.authoridSunar, Hasan/0000-0002-1276-8549
dc.authoridHalici, Umit/0000-0002-1289-8829
dc.authorwosidHalici, Umit/C-4015-2019
dc.authorwosidSunar, Hasan/A-8685-2018
dc.authorwosidHalici, Umit/AAL-7079-2020
dc.contributor.authorCanbaz, S
dc.contributor.authorTurgut, N
dc.contributor.authorHalici, U
dc.contributor.authorSunar, H
dc.contributor.authorBalci, K
dc.contributor.authorDuran, E
dc.date.accessioned2024-06-12T10:55:01Z
dc.date.available2024-06-12T10:55:01Z
dc.date.issued2005
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Postoperative brachial plexus injury is often reported because the brachial plexus is stretched by sternotomy and the use of sternal retractors during open heart surgery. In many studies, brachial plexus injuries have been demonstrated by postoperative electrophysiological studies in susceptible patients. In this study, we estimated the incidence, severity, and type of brachial plexus injuries by routine preoperative and postoperative electrophysiological studies of patients undergoing open heart surgery. Methods: Patients undergoing coronary artery bypass grafting (CABG) surgery (Group 1), heart valve surgery (Group 2), or peripheral vascular surgery (Group 3) were included in the investigation. Electrophysiological studies of both upper extremities were performed five days before and three weeks after the operation. Results: Peripheral nerve problems were found preoperatively in 23 of the 112 patients (21 %). These problems persisted, but similar findings were obtained postoperatively from the left upper extremities of six of the 42 CABG (14%) and two of the 24 heart valve (8%) patients who had had normal preoperative evaluations. The patients with injured nerves were older and had undergone longer operation times. There were no differences between the patients with injured nerves and the others with respect to mammary artery harvesting or other operative variables. Conclusions: There are no reports in the literature of routine preoperative and postoperative electrophysiological studies in large patient groups to evaluate brachial plexus injury during open heart surgery. It is known that heart surgery sometimes causes partial brachial plexus injury, especially in the lower trunk. However, these peripheral nerve problems are usually not considered clinically important and are not investigated. Patients undergoing open heart surgery must be closely followed up for peripheral nerve injury during the postoperative period.en_US
dc.identifier.doi10.1055/s-2005-865672
dc.identifier.endpage299en_US
dc.identifier.issn0171-6425
dc.identifier.issn1439-1902
dc.identifier.issue5en_US
dc.identifier.pmid16208616en_US
dc.identifier.scopus2-s2.0-26944452418en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage295en_US
dc.identifier.urihttps://doi.org/10.1055/s-2005-865672
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19270
dc.identifier.volume53en_US
dc.identifier.wosWOS:000232578200007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic And Cardiovascular Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBrachial Plexus Injuryen_US
dc.subjectElectrophysiological Studyen_US
dc.subjectCoronary Artery Bypass Surgeryen_US
dc.subjectOpen Heart Surgeryen_US
dc.subjectSternotomyen_US
dc.subjectSternal Retractionen_US
dc.subjectMedian Sternotomyen_US
dc.subjectCardiac-Surgeryen_US
dc.subjectSternal Retractorsen_US
dc.subjectNerve Injuryen_US
dc.subjectNeuropathiesen_US
dc.titleBrachial plexus injury during open heart surgery - Controlled prospective studyen_US
dc.typeArticleen_US

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