Successful management of tracheo-innominate artery fistula with endovascular stent graft repair

Tracheo-innominate artery fistula is a highly lethal complication after tracheostomy. A 37-year-old man who had undergone a tracheostomy 14 years earlier because of dysphagia after brain surgery had a tracheo-innominate artery fistula with exsanguinating hemorrhage from his tracheostomy site. After...

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Bibliographic Details
Published in:Journal of vascular surgery 2001-06, Vol.33 (6), p.1280-1282
Main Authors: Deguchi, Jun-o, Furuya, Takatoshi, Tanaka, Nobutaka, Nobori, Masakazu, Seki, Yasuo, Nomura, Yukihiro, Umehara, Isao, Saito, Haruhisa, Miyata, Tetsuro
Format: Article
Language:English
Subjects:
Adult
Angiography
Biological and medical sciences
Blood Vessel Prosthesis Implantation - instrumentation
Blood Vessel Prosthesis Implantation - methods
Brachiocephalic Trunk
Bronchoscopy - methods
Follow-Up Studies
Humans
Male
Medical sciences
Stents
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
Tracheal Diseases - diagnostic imaging
Tracheal Diseases - etiology
Tracheal Diseases - therapy
Tracheostomy - adverse effects
Treatment Outcome
Vascular Fistula - diagnostic imaging
Vascular Fistula - etiology
Vascular Fistula - therapy
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Summary:Tracheo-innominate artery fistula is a highly lethal complication after tracheostomy. A 37-year-old man who had undergone a tracheostomy 14 years earlier because of dysphagia after brain surgery had a tracheo-innominate artery fistula with exsanguinating hemorrhage from his tracheostomy site. After temporary control of the bleeding, a stent graft was implanted in the innominate artery through the brachial artery. The patient recovered uneventfully and remained well 14 months after the procedure, with no sign of infection. Endovascular stent grafting may be the treatment of choice for patients with tracheo-innominate artery fistula. (J Vasc Surg 2001;33:1280-2.)
ISSN:0741-5214
1097-6809
DOI:10.1067/mva.2001.114997