Permanent phrenic nerve paralysis  0% to 0.4%  Monitor diaphragm during phrenic pacing, CMAP monitoring, phrenic pacing to identify location and adjust lesion location  CXR, sniff test  Supportive care   462,482,490,503,532,533,536,706,707,779,808,903,920,1017,1075,1182-1201