Exsanguinating tracheoinnominate artery fistula repaired with endovascular stent-graft
| Autor: | Sergei Spektor, Iddo Paldor, Alex Klimov, José E. Cohen, Gustavo Rajz |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty Hemangioma Cavernous Central Nervous System Hemoptysis Fistula medicine.medical_treatment Postoperative Hemorrhage Hemangioma Postoperative Complications Tracheostomy medicine Humans Arterial injury Brachiocephalic Trunk business.industry Brain Neoplasms Artery fistula Stent Bleed medicine.disease Surgery Trachea medicine.anatomical_structure Percutaneous tracheostomy Female Stents Neurology (clinical) Complication business Vascular Surgical Procedures Artery Brain Stem |
| Zdroj: | Surgical neurology. 69(3) |
| ISSN: | 0090-3019 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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