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DOI:10.2214/AJR.07.3507
AJR 2008; 191:565-568
© American Roentgen Ray Society

Clinical Observations

Phrenic Nerve Injury Resulting from Percutaneous Ablation of Lung Malignancy

Raymond H. Thornton1, Stephen B. Solomon1, Damian E. Dupuy2 and Manjit S. Bains3

1 Section of Interventional Radiology and Image-Guided Therapies, Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., Ste. H118, New York, NY 10021.
2 Department of Diagnostic Imaging, Rhode Island Hospital and the Warren Alpert Medical School at Brown University, Providence, RI.
3 Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY.

OBJECTIVE. The objective of our study was to illustrate the potential for phrenic nerve injury during percutaneous lung ablation, to discuss the importance of this complication, and to review the expected location of the phrenic nerve on chest CT.

CONCLUSION. Knowledge of the expected location of the phrenic nerve—a structure that is usually not visible on imaging but is important—is essential for avoiding injury to the nerve during pulmonary ablation.

Keywords: ablation • diaphragm paralysis • iatrogenic injury • lung cancer • phrenic nerve injury


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