Tracheoinnominate fistula in a Duchenne muscular dystrophy patient:: Successful management with an endovascular stent
Tracheoinnominate fistula in a Duchenne muscular dystrophy patient:: Successful management with an endovascular stent
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DOI：
10.1016/j.nmd.2005.04.010
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发表时间：
2005-08-01
影响因子：
2.8
通讯作者：
Fittà, C
中科院分区：
文献类型：
--
作者：
Vianello, A;Ragazzi, R;Fittà, C
摘要气管无名瘘管是杜氏肌营养不良症患者在长期气管切开术后发生的一种罕见但致命的并发症。我们报告一位16岁的DMD男孩，在气管切开术后26个月发生瘘管导致大出血。由于围手术期并发症的风险较高，因此采用微创技术在无名动脉内植入血管内支架。患者得到成功治疗，顺利恢复。我们认为，通过支架植入术进行气管无名瘘的腔内修复术可能是严重受损患者的治疗选择，治疗气管造口DMD患者的临床医生应熟悉这种管理策略。(c)2005 Elsevier B.V.保留所有权利。
Tracheoinnominate fistula is a rare but often fatal complication occurring in Duchenne Muscular Dystrophy (DMD) patients with long-term tracheostomy. We report a 16-year-old boy with DMD who developed a fistula causing massive haemorrhage 26 months after tracheostomy. Due to the high risk of perioperative complications, a minimally invasive technique with placement of an endovascular stent grafting the innominate artery was performed. The patient was successfully managed and recovered uneventfully. We believe that endovascular repair of tracheoinnominate fistula by stent grafting may be the treatment of choice in severely compromised patients and that clinicians who treat tracheostomised DMD patients should be familiar with this management strategy. (c) 2005 Elsevier B.V. All rights reserved.