Pediatric anesthesia & critical care

Peripheral Nerve Injuries in Patients Undergoing Congenital Cardiac Surgery and Cardiac Catheterization

J Cardiothorac Vasc AnesthPublished Retrospective observational study

Authors' conclusion

PNI is a significant complication in children, adolescents, and young adults following cardiac procedures, with more severe cases occurring after surgery.

Study context

Population
Children, adolescents and young adults with documented peripheral nerve injury (PNI) after congenital cardiac surgery or catheterizationpatients with PNI
Participants
30 children
Exposure
PNI after cardiac surgery vs after cardiac catheterization
  • Surgeryn = 19
  • Catheterizationn = 11
Outcome
Unresolved PNI
Methodological detailssingle-centre, tertiary academic center
  • Single-centre
  • Tertiary academic center

Main finding

As reported in the abstract

Surgery

42.1%

8 of 19

Observational data: associations, not effects.

Further findings

Procedure duration and temperature, surgical cohort

Longer procedure duration, surgical cohort
487.0 minutes (IQR, 456.0-581.5 minutes)
Lower temperature, surgical cohort
32.4°C (IQR, 31.3°C-33.8°C)

Peripheral IV catheter or BP cuff on same side as affected limb, all cases

Same-side peripheral IV catheter or BP cuff
53.3%

Affected limb location

Lower extremities in surgical patients
n = 15, 78.9%
Upper extremities during catheterization
n = 10, 90.9%

Original publication

Peripheral Nerve Injuries in Patients Undergoing Congenital Cardiac Surgery and Cardiac Catheterization. J Cardiothorac Vasc Anesth. Published 20 December 2025. doi:10.1053/j.jvca.2025.12.021

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