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Phrenic nerve palsy

MedGen UID:
473426
•Concept ID:
C1442879
•
Disease or Syndrome
Synonyms: Phrenic Nerve Palsy; Phrenic nerve paralysis
SNOMED CT: Phrenic nerve palsy (277321001); Phrenic nerve paralysis (277321001)

Definition

Intermittent, incomplete or complete paralysis with or without tremors to any of the organs or body parts innervated by the phrenic nerve. [from NCI]

Professional guidelines

PubMed

Efficacy and Clinical Outcomes of Bleomycin in the Treatment of Lymphangiomas: A Multicenter Experience.
Bawazir OA, Bawazir R, Bawazir A, Kausar N, Said H
Dermatol Surg 2021 Jul 1;47(7):948-952. doi: 10.1097/DSS.0000000000002976. PMID: 33625132
Cryoballoon Ablation for the Treatment of Atrial Fibrillation: A Meta-analysis.
Patel N, Patel K, Shenoy A, Baker WL, Makaryus AN, El-Sherif N
Curr Cardiol Rev 2019;15(3):230-238. doi: 10.2174/1573403X15666181212102419. PMID: 30539701Free PMC Article
Postoperative phrenic nerve palsy: early clinical implications and management.
Lemmer J, Stiller B, Heise G, Hübler M, Alexi-Meskishvili V, Weng Y, Redlin M, Amann V, Ovroutski S, Berger F
Intensive Care Med 2006 Aug;32(8):1227-33. Epub 2006 Jun 2 doi: 10.1007/s00134-006-0208-4. PMID: 16741696

Recent clinical studies

Etiology

Cryoballoon Pulmonary Vein Isolation as First-Line Treatment for Typical Atrial Flutter.
Gupta D, Ding WY, Calvert P, Williams E, Das M, Tovmassian L, Tayebjee MH, Haywood G, Martin CA, Rajappan K, Bates MGD, Temple IP, Reichlin T, Chen Z, Balasubramaniam RN, Ronayne C, Clarkson N, Morgan M, Barton J, Kemp I, Mahida S, Sticherling C
Heart 2023 Feb 14;109(5):364-371. doi: 10.1136/heartjnl-2022-321729. PMID: 36396438
Left subclavian artery coverage during endovascular repair of thoracic aorta injury in trauma and non-trauma patients.
Grigorian A, Lewis M, Wlodarczyk JR, Chien CY, Park T, Demetriades D
Eur J Trauma Emerg Surg 2022 Dec;48(6):4425-4429. Epub 2022 Jun 17 doi: 10.1007/s00068-022-02027-5. PMID: 35713681
Minimally Invasive Plication of the Diaphragm: A Single-Center Prospective Study.
Nardini M, Jayakumar S, Migliore M, Nosotti M, Paul I, Dunning J
Innovations (Phila) 2021 Jul-Aug;16(4):343-349. Epub 2021 Jun 15 doi: 10.1177/15569845211011583. PMID: 34130535
Second generation cryoballoon ablation for persistent atrial fibrillation: an updated meta-analysis.
Omran H, Gutleben KJ, Molatta S, Fischbach T, Wellmann B, Horstkotte D, Körber B, Nölker G
Clin Res Cardiol 2018 Feb;107(2):182-192. Epub 2017 Oct 26 doi: 10.1007/s00392-017-1171-5. PMID: 29075979
Cryoballoon ablation of atrial fibrillation.
Kuck KH, Fürnkranz A
J Cardiovasc Electrophysiol 2010 Dec;21(12):1427-31. Epub 2010 Nov 23 doi: 10.1111/j.1540-8167.2010.01944.x. PMID: 21091966

Diagnosis

Difference in tissue temperature change between two cryoballoons.
Hayashi T, Hamada K, Iwasaki K, Takada J, Murakami M, Saito S
Open Heart 2023 Dec 7;10(2) doi: 10.1136/openhrt-2023-002426. PMID: 38065585Free PMC Article
Cryoballoon Pulmonary Vein Isolation as First-Line Treatment for Typical Atrial Flutter.
Gupta D, Ding WY, Calvert P, Williams E, Das M, Tovmassian L, Tayebjee MH, Haywood G, Martin CA, Rajappan K, Bates MGD, Temple IP, Reichlin T, Chen Z, Balasubramaniam RN, Ronayne C, Clarkson N, Morgan M, Barton J, Kemp I, Mahida S, Sticherling C
Heart 2023 Feb 14;109(5):364-371. doi: 10.1136/heartjnl-2022-321729. PMID: 36396438
3D mapping of phrenic nerve course for radiofrequency pulmonary vein isolation.
Bohnen M, Weber R, Minners J, Eichenlaub M, Jadidi A, Müller-Edenborn B, Neumann FJ, Arentz T, Lehrmann H
J Cardiovasc Electrophysiol 2023 Jan;34(1):90-98. Epub 2022 Oct 19 doi: 10.1111/jce.15703. PMID: 36217994
Second generation cryoballoon ablation for persistent atrial fibrillation: an updated meta-analysis.
Omran H, Gutleben KJ, Molatta S, Fischbach T, Wellmann B, Horstkotte D, Körber B, Nölker G
Clin Res Cardiol 2018 Feb;107(2):182-192. Epub 2017 Oct 26 doi: 10.1007/s00392-017-1171-5. PMID: 29075979
Techniques to improve and confirm pulmonary vein isolation.
Riley MP
Future Cardiol 2015;11(6):655-62. Epub 2015 Nov 26 doi: 10.2217/fca.15.63. PMID: 26610254

Therapy

Difference in tissue temperature change between two cryoballoons.
Hayashi T, Hamada K, Iwasaki K, Takada J, Murakami M, Saito S
Open Heart 2023 Dec 7;10(2) doi: 10.1136/openhrt-2023-002426. PMID: 38065585Free PMC Article
Cryoballoon Pulmonary Vein Isolation as First-Line Treatment for Typical Atrial Flutter.
Gupta D, Ding WY, Calvert P, Williams E, Das M, Tovmassian L, Tayebjee MH, Haywood G, Martin CA, Rajappan K, Bates MGD, Temple IP, Reichlin T, Chen Z, Balasubramaniam RN, Ronayne C, Clarkson N, Morgan M, Barton J, Kemp I, Mahida S, Sticherling C
Heart 2023 Feb 14;109(5):364-371. doi: 10.1136/heartjnl-2022-321729. PMID: 36396438
3D mapping of phrenic nerve course for radiofrequency pulmonary vein isolation.
Bohnen M, Weber R, Minners J, Eichenlaub M, Jadidi A, Müller-Edenborn B, Neumann FJ, Arentz T, Lehrmann H
J Cardiovasc Electrophysiol 2023 Jan;34(1):90-98. Epub 2022 Oct 19 doi: 10.1111/jce.15703. PMID: 36217994
Second generation cryoballoon ablation for persistent atrial fibrillation: an updated meta-analysis.
Omran H, Gutleben KJ, Molatta S, Fischbach T, Wellmann B, Horstkotte D, Körber B, Nölker G
Clin Res Cardiol 2018 Feb;107(2):182-192. Epub 2017 Oct 26 doi: 10.1007/s00392-017-1171-5. PMID: 29075979
Renaissance of supraclavicular brachial plexus block.
Sadowski M, Tułaza B, Lysenko L
Anaesthesiol Intensive Ther 2014 Jan-Mar;46(1):37-41. doi: 10.5603/AIT.2014.0008. PMID: 24643926

Prognosis

3D mapping of phrenic nerve course for radiofrequency pulmonary vein isolation.
Bohnen M, Weber R, Minners J, Eichenlaub M, Jadidi A, Müller-Edenborn B, Neumann FJ, Arentz T, Lehrmann H
J Cardiovasc Electrophysiol 2023 Jan;34(1):90-98. Epub 2022 Oct 19 doi: 10.1111/jce.15703. PMID: 36217994
Cool enough? Lessons learned from cryoballoon-guided catheter ablation for atrial fibrillation in young adults.
Bergau L, El Hamriti M, Rubarth K, Dagher L, Molatta S, Braun M, Khalaph M, Imnadze G, Nölker G, Nowak CP, Fox H, Sommer P, Sohns C
J Cardiovasc Electrophysiol 2020 Nov;31(11):2857-2864. Epub 2020 Aug 25 doi: 10.1111/jce.14717. PMID: 33345455
Neuromyelitis optica with unilateral diaphragmatic paralysis.
Bennji S, Sagar D, Brey N, Koegelenberg C
BMJ Case Rep 2018 Sep 28;2018 doi: 10.1136/bcr-2018-225984. PMID: 30269091Free PMC Article
Using anatomical landmark to avoid phrenic nerve injury during balloon-based procedures in atrial fibrillation patients.
Smith NM, Segars L, Kauffman T, Olinger AB
Surg Radiol Anat 2017 Dec;39(12):1369-1375. Epub 2017 Jul 11 doi: 10.1007/s00276-017-1895-y. PMID: 28698895
Revisiting pulmonary vein isolation alone for persistent atrial fibrillation: A systematic review and meta-analysis.
Voskoboinik A, Moskovitch JT, Harel N, Sanders P, Kistler PM, Kalman JM
Heart Rhythm 2017 May;14(5):661-667. doi: 10.1016/j.hrthm.2017.01.003. PMID: 28434446

Clinical prediction guides

Peri-operative Hemi-diaphragmatic Variations After Brachial Plexus Block Above the Clavicle: A Prospective Observational Study of the Contralateral Side.
Rovira L, Kot P, Pozo S, Cano B, De Andrés J
Ultrasound Med Biol 2023 Sep;49(9):2113-2118. Epub 2023 Jun 30 doi: 10.1016/j.ultrasmedbio.2023.05.018. PMID: 37394374
Minimally Invasive Plication of the Diaphragm: A Single-Center Prospective Study.
Nardini M, Jayakumar S, Migliore M, Nosotti M, Paul I, Dunning J
Innovations (Phila) 2021 Jul-Aug;16(4):343-349. Epub 2021 Jun 15 doi: 10.1177/15569845211011583. PMID: 34130535
Using anatomical landmark to avoid phrenic nerve injury during balloon-based procedures in atrial fibrillation patients.
Smith NM, Segars L, Kauffman T, Olinger AB
Surg Radiol Anat 2017 Dec;39(12):1369-1375. Epub 2017 Jul 11 doi: 10.1007/s00276-017-1895-y. PMID: 28698895
Revisiting pulmonary vein isolation alone for persistent atrial fibrillation: A systematic review and meta-analysis.
Voskoboinik A, Moskovitch JT, Harel N, Sanders P, Kistler PM, Kalman JM
Heart Rhythm 2017 May;14(5):661-667. doi: 10.1016/j.hrthm.2017.01.003. PMID: 28434446
Cryoballoon ablation of atrial fibrillation.
Kuck KH, Fürnkranz A
J Cardiovasc Electrophysiol 2010 Dec;21(12):1427-31. Epub 2010 Nov 23 doi: 10.1111/j.1540-8167.2010.01944.x. PMID: 21091966

Recent systematic reviews

Donor complications of contralateral C7 nerve transfer in Brachial Plexus Birth Injury: a systematic review.
Jakeman M, Borschel GH, Sharma P
Childs Nerv Syst 2023 Dec;39(12):3515-3520. Epub 2023 Jun 27 doi: 10.1007/s00381-023-06047-3. PMID: 37368067
Comparison of cryoballoon and radiofrequency ablation for persistent atrial fibrillation: a systematic review and meta-analysis.
Kim JA, Chelu MG
J Interv Card Electrophysiol 2023 Apr;66(3):585-595. Epub 2022 Sep 12 doi: 10.1007/s10840-022-01369-9. PMID: 36089635
The long-term efficacy and safety of combining ablation and left atrial appendage closure: A systematic review and meta-analysis.
Li F, Sun JY, Wu LD, Hao JF, Wang RX
J Cardiovasc Electrophysiol 2021 Nov;32(11):3068-3081. Epub 2021 Sep 3 doi: 10.1111/jce.15230. PMID: 34453379
Revisiting pulmonary vein isolation alone for persistent atrial fibrillation: A systematic review and meta-analysis.
Voskoboinik A, Moskovitch JT, Harel N, Sanders P, Kistler PM, Kalman JM
Heart Rhythm 2017 May;14(5):661-667. doi: 10.1016/j.hrthm.2017.01.003. PMID: 28434446
Comparison of Supraclavicular and Infraclavicular Brachial Plexus Block: A Systemic Review of Randomized Controlled Trials.
Park SK, Lee SY, Kim WH, Park HS, Lim YJ, Bahk JH
Anesth Analg 2017 Feb;124(2):636-644. doi: 10.1213/ANE.0000000000001713. PMID: 27828793

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