Because of the close proximity of the phrenic nerve to the pericardium, phrenic nerve damage caused by epicardial ablation can easily occur. We report two cases of epicardial VT ablation where pericardial injection of saline, combined with the use of a steerable sheath, successfully prevents the phrenic nerve from being damaged.

OBJECTIVE Phrenic nerve pacing can be used to treat congenital central hypoventilation syndrome (CCHS). We report how the lack of normal vocal cord tone during phrenic paced respiration can result in passive vocal cord collapse and produce obstructive symptoms. METHODS We describe a case of passive vocal cord collapse during phrenic nerve paced respiration in a patient with CCHS. As far as we...

BACKGROUND Patients who are ventilator dependent as a result of combined cervical spinal cord injury and phrenic nerve lesions are generally considered to be unsuitable candidates for diaphragmatic pacing due to loss of phrenic nerve integrity and denervation of the diaphragm. There is limited data regarding efficacy of simultaneous nerve transfers and diaphragmatic pacemakers in the treatment ...

Phrenic nerve stimulation is often considered to be difficult and unreliable. The time taken for the phrenic nerves to be located and adequately stimulated was measured in 110 subjects, aged 21-89 years, 26 of whom had diaphragmatic weakness; and phrenic nerve conduction time was recorded in 76 of these individuals. Each phrenic nerve was stimulated transcutaneously in the neck with square wave...

The aim of the present study was to investigate the electrophysiology of the phrenic nerve and the diaphragm muscle during sepsis. In total, 26 rats underwent either sham laparotomy or caecal ligation and puncture (CLP). Electrophysiology was evaluated via a phrenic nerve conduction study and needle electromyography of the diaphragm, prior to CLP, 6 and 24 h post-CLP and on day 7. The histopath...

Otolaryngologists are frequently confronted with the management of cervical tumors. Neurogenic tumors concern, especially, the cranial, sympathetic, or peripheral nerve sheathes. These tumors are benign and grow slowly. The involvement of the cervical part of the phrenic nerve is exceptional, and only 2 cases are reported in the literature. We describe the first case of a cervical schwannoma in...

Fifty infants and 50 children less than 15 years undergoing palliative or corrective cardiac surgery in the Brompton Hospital between March and October 1988 had direct percutaneous stimulation of the phrenic nerve before and after operation. Ten patients, six under 1 year of age and four over, developed unilateral phrenic nerve injury. In those aged less than 1 year recovery after operation was...

OBJECTIVES/HYPOTHESIS Selective reinnervation of the posterior cricoarytenoid muscle with a single phrenic nerve rootlet has been shown to restore physiologic motion in animal models. However, clinical translation of this work is challenged by the limited knowledge of the cervical anatomy of the phrenic nerve. STUDY DESIGN Prospective collaborative study. METHODS Dissection of 111 cadaveric...

Studies on nerve fibres within the phrenic nerve and in the diaphragmatic plexus were carried out in one species, the gerbil, a small desert rodent. The resistance of this small mammal to surgical insult enabled experimental intrathoracic transection of the phrenic nerve to be carried out so that the results in 10 animals could be observed within the diaphragmatic plexus, the phrenic nerve, and...

The diaphragm is a major respiratory muscle and plays an integral part in normal respiration. It is supplied by the phrenic nerve, which originates mainly from the fourth cervical nerve, but also receives contribution from the third and fifth cervical nerves. The phrenic nerve contains sensory, motor, and sympathetic nerve fibers, and it supplies motor supply to the diaphragm and sensory supply...