Two cases of tracheoinnominate artery fistula following tracheostomy treated successfully by endovascular embolization of the innominate artery

Two cases of tracheoinnominate artery fistula following tracheostomy treated successfully by endovascular embolization of the innominate artery
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DOI:
10.1016/j.jvs.2011.08.006
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发表时间:
2012-02-01
影响因子:
4.3
通讯作者:
Nakajima, Yasuo
Nakajima, Yasuo
中科院分区:
医学2区
文献类型:
--
作者:
Hamaguchi, Shingo;Nakajima, Yasuo

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摘要气管无名动脉瘘管是气管切开术后罕见但致命的并发症。传统的治疗方法是外科手术,但血管内技术的进步导致最近有一些关于弹簧圈治疗的报道。我们报告了2例TIF伴大出血的病例,均成功接受了血管内闭塞治疗。血管内修复比开放手术修复创伤小,通常恢复期较短。然而,这种技术可能需要多个线圈来抑制血液流入瘘管。该手术应被视为TIF的有效治疗方法之一。(J Vase Surg 2012;55:545-7.)
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. (J Vase Surg 2012;55:545-7.)