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Right hemi-diaphragm paralysis following cardiac radiofrequency ablation

Diaphragm paralysis may occur after traumatic phrenic nerve injury. Here we report three patients in whom right hemi-diaphragmatic paralysis developed after cardiac radiofrequency ablation. We hypothesise that local focused thermal energy at the time of the ablation may have caused direct neuronal d...

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Published in:	Respiratory medicine 2006-09, Vol.100 (9), p.1657-1659
Main Authors:	Swallow, E.B., Dayer, M.J., Oldfield, W.L., Moxham, J., Polkey, M.I.
Format:	Article
Language:	English
Subjects:	Adult Atrial Fibrillation - surgery Biological and medical sciences Catheter Ablation - adverse effects Catheters Female Hemi-diaphragm paralysis Humans Male Medical sciences Middle Aged Nervous system Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Phrenic Nerve - injuries Phrenic nerve testing Pneumology Postoperative Complications - etiology Radio Waves - adverse effects Radiofrequency ablation Respiratory Paralysis - etiology Sinuses Tachycardia, Sinus - surgery
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creator	Swallow, E.B. Dayer, M.J. Oldfield, W.L. Moxham, J. Polkey, M.I.
description	Diaphragm paralysis may occur after traumatic phrenic nerve injury. Here we report three patients in whom right hemi-diaphragmatic paralysis developed after cardiac radiofrequency ablation. We hypothesise that local focused thermal energy at the time of the ablation may have caused direct neuronal damage by axonal coagulation necrosis. The prognosis for this type of injury may be reasonably good; two of the three patients fully recovered diaphragm function by 1 year.
doi_str_mv	10.1016/j.rmed.2005.12.012
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subjects	Adult Atrial Fibrillation - surgery Biological and medical sciences Catheter Ablation - adverse effects Catheters Female Hemi-diaphragm paralysis Humans Male Medical sciences Middle Aged Nervous system Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Phrenic Nerve - injuries Phrenic nerve testing Pneumology Postoperative Complications - etiology Radio Waves - adverse effects Radiofrequency ablation Respiratory Paralysis - etiology Sinuses Tachycardia, Sinus - surgery
title	Right hemi-diaphragm paralysis following cardiac radiofrequency ablation
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