Brachiocephalic artery Brachiocephalic artery The brachiocephalic artery (or brachiocephalic trunk or innominate artery) is an artery of the mediastinum that supplies blood to the right arm and the head and neck. It is the first branch of the aortic arch, and soon after it emerges, the brachiocephalic artery divides into the right common carotid artery and the right subclavian artery. There is no brachiocephalic artery for the left side of the body. The left common carotid, and the left subclavian artery, come directly off the aortic arch. However, there are two brachiocephalic veins. It arises, on a level with the upper border
Brachial plexus block collapse. In severe cases, cardiac dysrhythmia, cardiac arrest and death may occur. Other rare but serious complications from brachial plexus block include pneumothorax and persistent paresis of the phrenic nerve. Complications associated with interscalene and supraclavicular blocks include inadvertent subarachnoid or epidural injection of local anesthetic, which can result in respiratory failure. Because of the close proximity of the lung to the brachial plexus at the level of the clavicle, the complication most often associated with this block is pneumothorax — with a risk as high as 6.1%. Further complications of supraclavicular block include subclavian artery puncture, and spread of