采用血管内支架移植物修复术成功治疗气管无名动脉瘘。
Successful management of tracheo-innominate artery fistula with endovascular stent graft repair.
作者信息
Deguchi J, Furuya T, Tanaka N, Nobori M, Seki Y, Nomura Y, Umehara I, Saito H, Miyata T
机构信息
Department of Surgery, Asahi General Hospital, Tokyo, Japan.
出版信息
J Vasc Surg. 2001 Jun;33(6):1280-2. doi: 10.1067/mva.2001.114997.
Tracheo-innominate artery fistula is a highly lethal complication after tracheostomy. A 37-year-old man who had undergone a tracheostomy 14 years earlier because of dysphagia after brain surgery had a tracheo-innominate artery fistula with exsanguinating hemorrhage from his tracheostomy site. After temporary control of the bleeding, a stent graft was implanted in the innominate artery through the brachial artery. The patient recovered uneventfully and remained well 14 months after the procedure, with no sign of infection. Endovascular stent grafting may be the treatment of choice for patients with tracheo-innominate artery fistula.
气管无名动脉瘘是气管切开术后一种具有高度致死性的并发症。一名37岁男性，14年前因脑外科手术后吞咽困难接受了气管切开术，现发生气管无名动脉瘘，气管切开部位大量出血。在出血得到临时控制后，通过肱动脉在无名动脉植入了覆膜支架。患者恢复顺利，术后14个月情况良好，无感染迹象。血管内覆膜支架植入术可能是气管无名动脉瘘患者的首选治疗方法。
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