A life-saving approach to trachea-innominate artery fistula: endovascular stent

doi:10.5606/tgkdc.dergisi.2014.6823

Hakan Korkmaz, Utku Mahir Yıldırım, Yusuf Dündar, Emel Çadallı Tatar, Güleser Saylam, Ali Özdek

Department of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
¹Department of Otolaryngology, Medical Faculty of Yıldırım Beyazıt University, Ankara, Turkey
²Departments of Radiology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
³Departments of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
⁴Department of Otolaryngology, Medical Faculty of Karabük University, Karabük, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.6823

Tracheo-innominate artery fistula is a devastating complication of tracheal operations. It is most commonly seen after tracheotomy and mostly in the postoperative 7^th to 14^th days. Despite all radical therapeutic interventions, survival rate of this emergency condition is very poor. In this article, we report a 24-year-old male case with trachea-innominate artery fistula after endotracheal titanium stent removal. This complication was successfully managed with an endovascular stent. Sternotomy and innominate artery ligation is the main emergency procedure, however, endovascular stent deployment can be an alternative procedure in hemodynamically stable patients with better results.

Keywords : Endotracheal stent; endovascular stent; innominate artery ligation; tracheo-innominate artery fistula; tracheotomy

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