The incidence of recurrent laryngeal nerve injury resulting in vocal cord paralysis following interventional congenital catheterisation procedures
Recurrent laryngeal nerve injury leading to vocal cord paralysis is a known complication of cardiothoracic surgery. Its occurrence during interventional catheterisation procedures has been documented in case reports, but there have been no studies to determine an incidence. To establish the incidenc...
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| Veröffentlicht in: | Cardiology in the young 2022-12, Vol.32 (12), p.1952-1956 |
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| container_issue | 12 |
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| container_title | Cardiology in the young |
| container_volume | 32 |
| creator | Shahrier, Aniqa Z. Chinchilli, Vernon M. Qureshi, Athar M. Prieto, Lourdes R. Levi, Daniel S. Boe, Brian A. Turner, Daniel R. Rubio, Agustin E. Trucco, Sara M. Devanagondi, Rajiv Law, Mark A. Bass, John L. Pihkala, Jaana I. Weber, Howard S. |
| description | Recurrent laryngeal nerve injury leading to vocal cord paralysis is a known complication of cardiothoracic surgery. Its occurrence during interventional catheterisation procedures has been documented in case reports, but there have been no studies to determine an incidence.
To establish the incidence of left recurrent laryngeal nerve injury leading to vocal cord paralysis after left pulmonary artery stenting, patent ductus arteriosus device closure and the combination of the procedures either consecutively or simultaneously.
Members of the Congenital Cardiovascular Interventional Study Consortium were asked to perform a retrospective analysis to identify cases of recurrent laryngeal nerve injury after the aforementioned procedures. Twelve institutions participated in the analysis. They also contributed the total number of each procedure performed at their respective institutions for statistical purposes.
Of the 1337 patients who underwent left pulmonary artery stent placement, six patients (0.45%) had confirmed vocal cord paralysis. 4001 patients underwent patent ductus arteriosus device closure, and two patients (0.05%) developed left vocal cord paralysis. Patients who underwent both left pulmonary artery stent placement and patent ductus arteriosus device closure had the highest incidence of vocal cord paralysis which occurred in 4 of the 26 patients (15.4%). Overall, 92% of affected patients in our study population had resolution of symptoms.
Recurrent laryngeal nerve injury is a rare complication of left pulmonary artery stent placement or patent ductus arteriosus device closure. However, the incidence is highest in patients undergoing both procedures either consecutively or simultaneously. Additional research is necessary to determine contributing factors that might reduce the risk of recurrent laryngeal nerve injury. |
| doi_str_mv | 10.1017/S1047951121005278 |
| format | Article |
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To establish the incidence of left recurrent laryngeal nerve injury leading to vocal cord paralysis after left pulmonary artery stenting, patent ductus arteriosus device closure and the combination of the procedures either consecutively or simultaneously.
Members of the Congenital Cardiovascular Interventional Study Consortium were asked to perform a retrospective analysis to identify cases of recurrent laryngeal nerve injury after the aforementioned procedures. Twelve institutions participated in the analysis. They also contributed the total number of each procedure performed at their respective institutions for statistical purposes.
Of the 1337 patients who underwent left pulmonary artery stent placement, six patients (0.45%) had confirmed vocal cord paralysis. 4001 patients underwent patent ductus arteriosus device closure, and two patients (0.05%) developed left vocal cord paralysis. Patients who underwent both left pulmonary artery stent placement and patent ductus arteriosus device closure had the highest incidence of vocal cord paralysis which occurred in 4 of the 26 patients (15.4%). Overall, 92% of affected patients in our study population had resolution of symptoms.
Recurrent laryngeal nerve injury is a rare complication of left pulmonary artery stent placement or patent ductus arteriosus device closure. However, the incidence is highest in patients undergoing both procedures either consecutively or simultaneously. Additional research is necessary to determine contributing factors that might reduce the risk of recurrent laryngeal nerve injury.</description><identifier>ISSN: 1047-9511</identifier><identifier>EISSN: 1467-1107</identifier><identifier>DOI: 10.1017/S1047951121005278</identifier><identifier>PMID: 35152927</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Case reports ; Catheterization ; Heart surgery ; Implants ; Injury analysis ; Injury prevention ; Interventional (stents, etc.) ; Lungs ; Nerves ; Original Article ; Paralysis ; Patients ; Population studies ; Pulmonary arteries ; Pulmonary artery ; Ratios ; Statistical significance ; Stents ; Thoracic surgery ; Veins & arteries ; Vocal cords ; Vocal organs</subject><ispartof>Cardiology in the young, 2022-12, Vol.32 (12), p.1952-1956</ispartof><rights>The Author(s), 2022. Published by Cambridge University Press</rights><rights>The Author(s), 2022. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-db0d9691444f6e456f1e8f0dd170b42203613e82a303b8e78ddc234206957f293</citedby><cites>FETCH-LOGICAL-c373t-db0d9691444f6e456f1e8f0dd170b42203613e82a303b8e78ddc234206957f293</cites><orcidid>0000-0001-9071-5429 ; 0000-0003-0447-955X ; 0000-0002-7300-995X ; 0000-0001-5992-568X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1047951121005278/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35152927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shahrier, Aniqa Z.</creatorcontrib><creatorcontrib>Chinchilli, Vernon M.</creatorcontrib><creatorcontrib>Qureshi, Athar M.</creatorcontrib><creatorcontrib>Prieto, Lourdes R.</creatorcontrib><creatorcontrib>Levi, Daniel S.</creatorcontrib><creatorcontrib>Boe, Brian A.</creatorcontrib><creatorcontrib>Turner, Daniel R.</creatorcontrib><creatorcontrib>Rubio, Agustin E.</creatorcontrib><creatorcontrib>Trucco, Sara M.</creatorcontrib><creatorcontrib>Devanagondi, Rajiv</creatorcontrib><creatorcontrib>Law, Mark A.</creatorcontrib><creatorcontrib>Bass, John L.</creatorcontrib><creatorcontrib>Pihkala, Jaana I.</creatorcontrib><creatorcontrib>Weber, Howard S.</creatorcontrib><title>The incidence of recurrent laryngeal nerve injury resulting in vocal cord paralysis following interventional congenital catheterisation procedures</title><title>Cardiology in the young</title><addtitle>Cardiol Young</addtitle><description>Recurrent laryngeal nerve injury leading to vocal cord paralysis is a known complication of cardiothoracic surgery. Its occurrence during interventional catheterisation procedures has been documented in case reports, but there have been no studies to determine an incidence.
To establish the incidence of left recurrent laryngeal nerve injury leading to vocal cord paralysis after left pulmonary artery stenting, patent ductus arteriosus device closure and the combination of the procedures either consecutively or simultaneously.
Members of the Congenital Cardiovascular Interventional Study Consortium were asked to perform a retrospective analysis to identify cases of recurrent laryngeal nerve injury after the aforementioned procedures. Twelve institutions participated in the analysis. They also contributed the total number of each procedure performed at their respective institutions for statistical purposes.
Of the 1337 patients who underwent left pulmonary artery stent placement, six patients (0.45%) had confirmed vocal cord paralysis. 4001 patients underwent patent ductus arteriosus device closure, and two patients (0.05%) developed left vocal cord paralysis. Patients who underwent both left pulmonary artery stent placement and patent ductus arteriosus device closure had the highest incidence of vocal cord paralysis which occurred in 4 of the 26 patients (15.4%). Overall, 92% of affected patients in our study population had resolution of symptoms.
Recurrent laryngeal nerve injury is a rare complication of left pulmonary artery stent placement or patent ductus arteriosus device closure. However, the incidence is highest in patients undergoing both procedures either consecutively or simultaneously. Additional research is necessary to determine contributing factors that might reduce the risk of recurrent laryngeal nerve injury.</description><subject>Case reports</subject><subject>Catheterization</subject><subject>Heart surgery</subject><subject>Implants</subject><subject>Injury analysis</subject><subject>Injury prevention</subject><subject>Interventional (stents, etc.)</subject><subject>Lungs</subject><subject>Nerves</subject><subject>Original Article</subject><subject>Paralysis</subject><subject>Patients</subject><subject>Population studies</subject><subject>Pulmonary arteries</subject><subject>Pulmonary artery</subject><subject>Ratios</subject><subject>Statistical significance</subject><subject>Stents</subject><subject>Thoracic surgery</subject><subject>Veins & arteries</subject><subject>Vocal cords</subject><subject>Vocal organs</subject><issn>1047-9511</issn><issn>1467-1107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>IKXGN</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUFv1DAQhS0EoqXwA7ggS1y4BDx2EidHVAFFqsSBco4ce7L1ymsvdtJq_wa_mEl3AQnEySO_772R_Rh7CeItCNDvvoKodd8ASBCikbp7xM6hbnUFIPRjmkmuVv2MPStlKwQoBeIpO1MNNLKX-pz9uLlF7qP1DqNFniae0S45Y5x5MPkQN2gCj5jvVmy75AMBZQmzjxu64HfJkm5TdnxvsgmH4gufUgjp_kjMqzXOPsUHjvKin9fRzLdIoi9mFfk-J4tuofDn7MlkQsEXp_OCffv44ebyqrr-8unz5fvryiqt5sqNwvVtD3VdTy3WTTsBdpNwDrQYaymFakFhJ40SauxQd85ZqWop2r7Rk-zVBXtzzKXV3xcs87DzxWIIJmJayiBb2VG-UEDo67_QbVoyvYioTrXUBXVAFBwpm1MpGadhn_2OPnEAMayFDf8URp5Xp-Rl3KH77fjVEAHqFGp2Y_Zug392_z_2J7jqolI</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Shahrier, Aniqa Z.</creator><creator>Chinchilli, Vernon M.</creator><creator>Qureshi, Athar M.</creator><creator>Prieto, Lourdes R.</creator><creator>Levi, Daniel S.</creator><creator>Boe, Brian A.</creator><creator>Turner, Daniel R.</creator><creator>Rubio, Agustin E.</creator><creator>Trucco, Sara M.</creator><creator>Devanagondi, Rajiv</creator><creator>Law, Mark A.</creator><creator>Bass, John L.</creator><creator>Pihkala, Jaana I.</creator><creator>Weber, Howard S.</creator><general>Cambridge University Press</general><scope>IKXGN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9071-5429</orcidid><orcidid>https://orcid.org/0000-0003-0447-955X</orcidid><orcidid>https://orcid.org/0000-0002-7300-995X</orcidid><orcidid>https://orcid.org/0000-0001-5992-568X</orcidid></search><sort><creationdate>20221201</creationdate><title>The incidence of recurrent laryngeal nerve injury resulting in vocal cord paralysis following interventional congenital catheterisation procedures</title><author>Shahrier, Aniqa Z. ; 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Its occurrence during interventional catheterisation procedures has been documented in case reports, but there have been no studies to determine an incidence.
To establish the incidence of left recurrent laryngeal nerve injury leading to vocal cord paralysis after left pulmonary artery stenting, patent ductus arteriosus device closure and the combination of the procedures either consecutively or simultaneously.
Members of the Congenital Cardiovascular Interventional Study Consortium were asked to perform a retrospective analysis to identify cases of recurrent laryngeal nerve injury after the aforementioned procedures. Twelve institutions participated in the analysis. They also contributed the total number of each procedure performed at their respective institutions for statistical purposes.
Of the 1337 patients who underwent left pulmonary artery stent placement, six patients (0.45%) had confirmed vocal cord paralysis. 4001 patients underwent patent ductus arteriosus device closure, and two patients (0.05%) developed left vocal cord paralysis. Patients who underwent both left pulmonary artery stent placement and patent ductus arteriosus device closure had the highest incidence of vocal cord paralysis which occurred in 4 of the 26 patients (15.4%). Overall, 92% of affected patients in our study population had resolution of symptoms.
Recurrent laryngeal nerve injury is a rare complication of left pulmonary artery stent placement or patent ductus arteriosus device closure. However, the incidence is highest in patients undergoing both procedures either consecutively or simultaneously. Additional research is necessary to determine contributing factors that might reduce the risk of recurrent laryngeal nerve injury.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>35152927</pmid><doi>10.1017/S1047951121005278</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-9071-5429</orcidid><orcidid>https://orcid.org/0000-0003-0447-955X</orcidid><orcidid>https://orcid.org/0000-0002-7300-995X</orcidid><orcidid>https://orcid.org/0000-0001-5992-568X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Cardiology in the young, 2022-12, Vol.32 (12), p.1952-1956 |
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| subjects | Case reports Catheterization Heart surgery Implants Injury analysis Injury prevention Interventional (stents, etc.) Lungs Nerves Original Article Paralysis Patients Population studies Pulmonary arteries Pulmonary artery Ratios Statistical significance Stents Thoracic surgery Veins & arteries Vocal cords Vocal organs |
| title | The incidence of recurrent laryngeal nerve injury resulting in vocal cord paralysis following interventional congenital catheterisation procedures |
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