Document Detail


Brachial plexopathy secondary to anticoagulant-induced hematoma as a complication of axillary arteriography.
MedLine Citation:
PMID:  9059006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
D W Shoup; G J Toffol; T J Trahan
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of the American Osteopathic Association     Volume:  97     ISSN:  0098-6151     ISO Abbreviation:  J Am Osteopath Assoc     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-04-11     Completed Date:  1997-04-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7503065     Medline TA:  J Am Osteopath Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  102-5     Citation Subset:  IM    
Affiliation:
Department of Family Practice, Mesa General Hospital Medical Center, Ariz, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / chemically induced*,  complications,  surgery
Angiography / adverse effects*
Anticoagulants / adverse effects*,  therapeutic use
Axillary Artery
Brachial Plexus / injuries*
Hematoma / chemically induced*,  complications,  surgery
Humans
Male
Peripheral Nervous System Diseases / etiology*
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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