Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment

Intra-aortic balloon pump (IABP)-related neuropathy is an infrequent complication, and the development of motor deficits is even rarer in such cases. We report a 37-year-old man with anterior ST-elevation myocardial infarction who received emergent percutaneous coronary intervention and IABP counter...

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Main Authors: Ho-Tsung Hsin, Juey-Jen Hwang
Format: Article
Language:English
Published: Elsevier 2007-01-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664609603636
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author Ho-Tsung Hsin
Juey-Jen Hwang
author_facet Ho-Tsung Hsin
Juey-Jen Hwang
author_sort Ho-Tsung Hsin
collection DOAJ
description Intra-aortic balloon pump (IABP)-related neuropathy is an infrequent complication, and the development of motor deficits is even rarer in such cases. We report a 37-year-old man with anterior ST-elevation myocardial infarction who received emergent percutaneous coronary intervention and IABP counterpulsation. Weakness and numbness developed after IABP removal despite lack of evidence of ischemia in the involved extremity. Nerve conduction velocity study and electromyogram led to the diagnosis of femoral nerve neuropathy. The neurologic deficits recovered after 6 months of rehabilitation. This case illustrates the importance of bedside neurologic examination of the involved extremity for early detection of possible injury to the femoral nerve in patients after IABP treatment and insertion of larger bore catheter. [J Formos Med Assoc 2007;106(3 Suppl):S29-S32]
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spelling doaj.art-cff24a3c215a45139846a0571ea460f12022-12-22T03:23:03ZengElsevierJournal of the Formosan Medical Association0929-66462007-01-011063S29S3210.1016/S0929-6646(09)60363-6Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump TreatmentHo-Tsung Hsin0Juey-Jen Hwang1Cardiovascular Center, Far-Eastern Memorial Hospital, Taipei, TaiwanDivision of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanIntra-aortic balloon pump (IABP)-related neuropathy is an infrequent complication, and the development of motor deficits is even rarer in such cases. We report a 37-year-old man with anterior ST-elevation myocardial infarction who received emergent percutaneous coronary intervention and IABP counterpulsation. Weakness and numbness developed after IABP removal despite lack of evidence of ischemia in the involved extremity. Nerve conduction velocity study and electromyogram led to the diagnosis of femoral nerve neuropathy. The neurologic deficits recovered after 6 months of rehabilitation. This case illustrates the importance of bedside neurologic examination of the involved extremity for early detection of possible injury to the femoral nerve in patients after IABP treatment and insertion of larger bore catheter. [J Formos Med Assoc 2007;106(3 Suppl):S29-S32]http://www.sciencedirect.com/science/article/pii/S0929664609603636femoral nerveIABPneuropathy
spellingShingle Ho-Tsung Hsin
Juey-Jen Hwang
Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment
Journal of the Formosan Medical Association
femoral nerve
IABP
neuropathy
title Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment
title_full Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment
title_fullStr Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment
title_full_unstemmed Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment
title_short Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment
title_sort isolated femoral nerve neuropathy after intra aortic balloon pump treatment
topic femoral nerve
IABP
neuropathy
url http://www.sciencedirect.com/science/article/pii/S0929664609603636
work_keys_str_mv AT hotsunghsin isolatedfemoralnerveneuropathyafterintraaorticballoonpumptreatment
AT jueyjenhwang isolatedfemoralnerveneuropathyafterintraaorticballoonpumptreatment