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Review
. 1997 Feb;97(2):102-5.
doi: 10.7556/jaoa.1997.97.2.102.

Brachial plexopathy secondary to anticoagulant-induced hematoma as a complication of axillary arteriography

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Free article
Review

Brachial plexopathy secondary to anticoagulant-induced hematoma as a complication of axillary arteriography

D W Shoup et al. J Am Osteopath Assoc. 1997 Feb.
Free article

Abstract

In the patient described, brachial plexopathy was caused by a large anticoagulant-induced hematoma and pseudoaneurysm. The patient was seen at the hospital 2 weeks postarteriography with weakness, numbness, and pain in the left arm, as well as diffuse left-sided ecchymosis. Noncontrast computed tomographic scans of the axilla confirmed the diagnosis by showing an organized hematoma in the axillary compartment. Color-flow Doppler ultrasound studies showed blood flow in a pseudoaneurysm. This is a rare complication of arteriography that requires surgical intervention to remove the hematoma, decompress the brachial plexus, and repair the puncture site responsible for the pseudoaneurysm. Even if there is a delayed diagnosis, surgery should be performed urgently. Prognosis is based on prompt recognition and timely surgical intervention.

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