Alomari A, Falk A
Department of Radiology, Mount Sinai Medical Center, New York, NY, USA.
J Vasc Access. 2006 Jul-Sep;7(3):129-31. doi: 10.1177/112972980600700307.
Considering the reported safety, efficiency, and low cost of peripherally inserted central catheters (PICCs), they are increasingly preferred to central venous catheters for short-term delivery of medical therapies. Here, we report a case of severe median nerve bisection during PICC placement via a brachial vein. While such nerve damage is uncommon, the case indicates that when the brachial vein is selected as an access site over the basilic and cephalic veins, caution should be exercised during PICC placement since the brachial vein traverses in close proximity to the median nerve.
鉴于外周静脉穿刺中心静脉导管（PICC）已报道的安全性、有效性和低成本，在短期进行药物治疗时，它们比中心静脉导管更受青睐。在此，我们报告一例经肱静脉放置PICC期间发生严重正中神经离断的病例。虽然这种神经损伤并不常见，但该病例表明，当选择肱静脉而非贵要静脉和头静脉作为穿刺部位时，放置PICC期间应谨慎操作，因为肱静脉与正中神经走行紧邻。
