title: Two cases of tracheoinnominate artery fistula following tracheostomy treated successfully by endovascular embolization of the innominate artery.
abstract: Tracheoinnominate artery fistula (TIF) is a rare but lethal complication of tracheostomy. Treatment has traditionally been surgical, but advances in endovascular technology have led to a few recent reports of therapy with coils. We report 2 cases of TIF with massive hemorrhage that underwent successful treatment with endovascular occlusion. Endovascular repair is less invasive than open surgical repair and usually associated with a shorter recovery period. However, this technique may require multiple coils to inhibit blood flow into the fistula. This procedure should be considered one of the useful treatments for TIF.
authors.affiliation: Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Japan. hal29120@me.com
authors.forename: Shingo
authors.initials: S
authors.lastname: Hamaguchi
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Nakajima
mesh_terms: D000293:Adolescent; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries*; D002648:Child; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D011859:Radiography; D016156:Respiratory Tract Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014133:Tracheal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014139:Tracheostomy / Q000009:adverse effects*; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*