- it is important that the injection site be at distance proximal to site of injury;
- if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized;
- insertion of needle into brachial artery is facilitated by immobilizing artery against humerus;
- because of the size of the artery, its important to stabilize position of needle during the rapid hand injection;
- axillary artery is enclosed w/ axillary vein and multiple nerves in a relatively inelastic neurovascular bundle;
- relatively small amounts of bleeding within the sheath may cause nerve compression syndrome;
- thrombus may be extracted using a balloon catheter
An Experience with Upper-Extremity Vascular Trauma.
Year Book: Upper Extremity Arterial Injury in Athletes.
Year Book: Management of Arm Arterial Injuries.