Complications of Axillary Arteriotomies

Abstract

An analysis of complications in 1,762 consecutive precutaneous axillary arteriotomies is presented. Thirty-seven complications occurred (33 local, 2 cardiovascular, and 2 affecting the central nervous system). Seven of 9 major complications were related to hematomas which compressed the brachial plexus or part of it. Four of 7 patients fully recovered following surgical decompression. Thrombectomy was required in only one case. It is stressed that permanent nerve damage as a complication of axillary arteriotomy can be prevented through early detection and surgical management.