Endovascular repair of a tracheoinnominate fistula with a stent graft

Vascular. Sep-Oct 2008;16(5):287-90. doi: 10.2310/6670.2008.00045.

Abstract

Massive bleeding from a tracheostomy developed in a 65-year-old woman with stroke after successful conservative management of a minor tracheostomy bleeding episode. Temporary hemostasis was achieved, and angiography showed a tracheoinnominate fistula (TIF), a rare complication of tracheostomy. Open surgery was contraindicated in this patient, so endovascular repair using a stent graft was performed. Permanent hemostasis was obtained, and there were no immediate complications from the procedure. The patient never recovered from her stroke and died 2 weeks later. The endovascular approach may be a feasible alternative to surgical repair of TIF, especially in patients unable to tolerate an open procedure.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Brachiocephalic Trunk / diagnostic imaging
  • Brachiocephalic Trunk / surgery*
  • Fatal Outcome
  • Female
  • Humans
  • Radiography
  • Respiratory Tract Fistula / diagnostic imaging
  • Respiratory Tract Fistula / etiology
  • Respiratory Tract Fistula / surgery*
  • Stents*
  • Tracheal Diseases / diagnostic imaging
  • Tracheal Diseases / etiology
  • Tracheal Diseases / surgery*
  • Tracheostomy / adverse effects
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / etiology
  • Vascular Fistula / surgery*