一例气管无名动脉瘘病例。无名动脉血管内栓塞治疗成功。
A case with tracheo-innominate artery fistula. Successful management of endovascular embolization of innominate artery.
作者信息
Takasaki Kenji, Enatsu Kaori, Nakayama Masahiko, Uchida Takatoshi, Takahashi Haruo
机构信息
Department of Otolaryngology, Sasebo City General Hospital, Sasebo, Japan.
出版信息
Auris Nasus Larynx. 2005 Jun;32(2):195-8. doi: 10.1016/j.anl.2004.11.002.
Tracheo-innominate artery fistula (TIF) is known as a fatal complication after tracheostomy. We report a 9-year-old girl with early hypoxic encephalopathy who had a tracheo-innominate artery fistula with exsanguinating hemorrhage from her tracheostoma 10 months after tracheostomy. After temporary control of bleeding, embolization of the innominate artery was performed. The patient has remained well 1 year after the procedure. We reviewed the aetiology, diagnosis and management of the tracheo-innominate fistula, and findings suggest that endovascular embolization of the innominate artery may be an appropriate treatment for patients with tracheo-innominate artery fistula.
气管无名动脉瘘（TIF）是气管切开术后一种已知的致命并发症。我们报告一名9岁患有早期缺氧性脑病的女孩，她在气管切开术后10个月出现气管无名动脉瘘，并伴有气管造口处大出血。在临时控制出血后，对无名动脉进行了栓塞。术后1年患者情况良好。我们回顾了气管无名动脉瘘的病因、诊断和治疗，结果表明无名动脉的血管内栓塞可能是气管无名动脉瘘患者的一种合适治疗方法。
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