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Endovascular Treatment of Tracheoinnominate Artery Fistula: A Case Report

Center for Vascular Disease, Department of Surgery, University of Rochester, Rochester, New York

Andrew M. Bakken, MD

Center for Vascular Disease, Department of Surgery, University of Rochester, Rochester, New York

Nael Saad, MD

Department of Imaging Sciences, University of Rochester, Rochester, New York

Wael A. E. Saad, MD

Department of Imaging Sciences, University of Rochester, Rochester, New York

Mark G. Davies, MD, PhD

Center for Vascular Disease, Department of Surgery, University of Rochester, Rochester, New York, mark_davies{at}urmc.rochester.edu

Tracheoinnominate fistula is a rare but lethal condition that requires emergent surgical intervention to prevent ensuing exsanguinating hemorrhage. In clinical situations where the risk of open surgery is prohibitively high, endovascular repair may provide a life-saving alternative to control hemorrhage and serve as a temporizing or definitive solution based on a given clinical scenario. The authors report successful endovascular repair of the bleeding tracheoinnominate fistula with a stent in a liver transplant patient with high comorbidities and review the current literature.

Key Words: tracheoinnominate fistula • tracheostomy • hemorrhage • endovascular

Vascular and Endovascular Surgery, Vol. 41, No. 3, 258-261 (2007)
DOI: 10.1177/1084713806289514


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