Axillary Artery Dissection After Ultrasound-Guided Infraclavicular Brachial Plexus Block: A Case Report. Issue 1 (1st July 2018)

• Record Type: Journal Article
• Authors: Pace, Meredith M.
• Is Part Of: A & A practice. Volume 11:Issue 1(2018)
• Publication Date: 2018-07-01
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000725
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : A 52-year-old man with end-stage renal disease underwent ultrasound-guided infraclavicular brachial plexus block for revision of an arteriovenous fistula. On postoperative day 2, the patient developed pain and loss of motor function in the surgical extremity. A computed tomography angiogram revealed complete dissection of the axillary artery. The dissection was emergently treated with a bypass graft, resulting in complete resolution of paralysis and pain. Sensory deficits resolved over the next 3 days. Smoking, hypertension, diabetes mellitus, and chronic intake of a calcineurin inhibitor might have predisposed the patient to iatrogenic arterial dissection.