Exsanguinating tracheoinnominate artery fistula repaired with endovascular stent-graft

José E. Cohen, Alex Klimov, Gustavo Rajz, Iddo Paldor, Sergei Spektor

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Background: Tracheoinnominate artery fistula is a relatively rare but life-threatening complication of tracheostomy. Peristomal bleed or hemoptysis may be massive and usually fatal if treatment is not instituted immediately. Case Description: We report the case of a 40-year-old woman who sustained surgical evacuation of a brainstem cavernoma and developed a massive hemoptysis 13 days after a percutaneous tracheostomy. Because of the patient's poor clinical condition, endovascular repair of the arterial injury was decided. The innominate artery was successfully repaired by means of urgent stent-graft placement. Conclusions: We believe that, if technically feasible, stent-graft placement can be a valuable therapeutic alternative for this dramatic condition. Physicians in charge of tracheostomized patients and neurointerventionalists should be familiar with this management strategy.

Original languageEnglish
Pages (from-to)306-309
Number of pages4
JournalSurgical Neurology
Volume69
Issue number3
DOIs
StatePublished - 1 Mar 2008
Externally publishedYes

Keywords

  • Complication
  • Hemoptysis
  • Stent-graft
  • Tracheoinnominate fistula
  • Tracheostomy

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