Endovascular therapy for tracheoinnominate artery fistula: a temporizing measure.
Tracheoinnominate artery fistula remains an uncommon, highly fatal complication of tracheostomy and peritracheal pathology. Endovascular placement of a covered stent can provide control of the fistula. Depending on the conditions of the trachea and peritracheal tissues, the fistula may heal or the stent may become infected and/or further erode into the trachea. We report on a case of a patient with a tracheoinnominate artery fistula related to peritracheal tumor invasion, radiation therapy, and tracheostomy. The fistula was initially excluded with a covered stent, but a few weeks later hemoptysis recurred secondary to deep tracheal erosion by the covered stent.
Wall
L Philipp
LP
Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, NY 11794-8191, USA.
Gasparis
Antonios
A
Criado
Enrique
E
D019917:Blood Vessel Prosthesis Implantation; D016122:Brachiocephalic Trunk / Q000601:surgery*; D003528:Carcinoma, Adenoid Cystic / Q000532:radiotherapy / Q000556:secondary; D005260:Female; D006469:Hemoptysis / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D016156:Respiratory Tract Fistula / Q000601:surgery*; D015607:Stents; D014133:Tracheal Diseases / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000532:radiotherapy / Q000556:secondary; D014139:Tracheostomy / Q000009:adverse effects; D016157:Vascular Fistula / Q000601:surgery*