A Case of Tracheo-innominate Artery Fistula after Tracheostomy Successfully Treated with a Covered Stent

A 78-year-old man underwent a tracheostomy after embolization for a dural arteriovenous fistula. Seventy days after tracheostomy, arterial bleeding appeared through the tracheal stoma. The bleeding stopped spontaneously. However, two days later, arterial bleeding reappeared, and he was diagnosed wit...

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Detalles Bibliográficos
Autores principales: KAKIMOTO, Takayuki, MURAI, Satoshi, KUSAKA, Noboru, BABA, Fukiko, INOUE, Yohei, MIYAKE, Hayato, KAWAKAMI, Masato, SHINJI, Yukei, ITAMI, Hisakazu, OTSUKA, Shinji, NISHIURA, Tsukasa, KAWAMOTO, Kenji, YAMAMOTO, Tsuyoshi, KIMURA, Nobuhiko, OGIHARA, Kotaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017121/
https://www.ncbi.nlm.nih.gov/pubmed/36937500
http://dx.doi.org/10.2176/jns-nmc.2022-0250
Descripción
Sumario:A 78-year-old man underwent a tracheostomy after embolization for a dural arteriovenous fistula. Seventy days after tracheostomy, arterial bleeding appeared through the tracheal stoma. The bleeding stopped spontaneously. However, two days later, arterial bleeding reappeared, and he was diagnosed with a tracheo-innominate artery fistula (TIF). He then underwent urgent endovascular covered stent placement. After the procedure, there was no bleeding. TIF can be a fatal complication after tracheostomy and it is generally treated with open chest surgery. However, a successful endovascular treatment for TIF has recently been reported and may yield better results.

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