Journal article
The incidence of recurrent laryngeal nerve injury resulting in vocal cord paralysis following interventional congenital catheterisation procedures
Cardiology in the young, Vol.32(12), pp.1952-1956
12/01/2022
DOI: 10.1017/S1047951121005278
PMID: 35152927
Abstract
Background: 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. Objective: 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. Methods: 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. Results: 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. Conclusion: 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.
Details
- Title: Subtitle
- The incidence of recurrent laryngeal nerve injury resulting in vocal cord paralysis following interventional congenital catheterisation procedures
- Creators
- Aniqa Z. Shahrier - Penn State Milton S. Hershey Medical CenterVernon M. Chinchilli - Pennsylvania State UniversityAthar M. Qureshi - Texas Children's HospitalLourdes R. Prieto - Miami Children's HospitalDaniel S. Levi - Mattel Children's HospitalBrian A. Boe - Nationwide Children's HospitalDaniel R. Turner - Children's Hospital of MichiganAgustin E. Rubio - Seattle Children's HospitalSara M. Trucco - Children's Hospital of PittsburghRajiv Devanagondi - Golisano Children's HospitalMark A. Law - Children's of AlabamaJohn L. Bass - Children's MinnesotaJaana Pihkala - Helsinki University HospitalHoward S. Weber - Penn State Milton S. Hershey Medical Center
- Resource Type
- Journal article
- Publication Details
- Cardiology in the young, Vol.32(12), pp.1952-1956
- DOI
- 10.1017/S1047951121005278
- PMID
- 35152927
- NLM abbreviation
- Cardiol Young
- ISSN
- 1047-9511
- eISSN
- 1467-1107
- Publisher
- Cambridge Univ Press
- Number of pages
- 5
- Language
- English
- Date published
- 12/01/2022
- Academic Unit
- Cardiology; Stead Family Department of Pediatrics
- Record Identifier
- 9984772262002771
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