Tracheoinnominate fistula in a Duchenne muscular dystrophy patient: Successful management with an endovascular stent

Vianello, Andrea; Ragazzi, Roberto; Mirri, Loris; Arcaro, Giovanna; Cutrone, Cesare; Fittà, Claudio

doi:10.1016/j.nmd.2005.04.010

Cited by 21 publications

(16 citation statements)

References 11 publications

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“…The observed unweighted kappa for full‐text reviewing between the two independent reviewers was 0.802 (95% confidence interval (CI) 0.752–0.852). Fifty‐four publications were included in final synthesis, including 40 case reports and 14 case series, which were published between 1948 and 2017 . Studies from the United States were the most common (33.3%), followed by those from Japan (27.8%) (Supporting Appendix 2).…”

Section: Resultsmentioning

confidence: 99%

“…A graphic representation of TIF development with respect to timing and age is included in Supporting Appendix 4. Eight of 54 studies reported the type of tracheotomy tubes used prior to TIF development (6 with metal tubes, and 2 with Montgomery T‐tubes, Boston Medical Products, Shrewsbury, MA). Five studies reported changing tracheotomy tubes to either metal, Bivona, or Montgomery T‐tube, Boston medical products during initial or definitive management of TIF, although the initial type of tubes at the time of presentation is not available.…”

Section: Resultsmentioning

confidence: 99%

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Tracheo‐innominate fistula in children: A systematic review of literature

et al. 2019

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Objective: Tracheo-innominate fistula (TIF) is a rare but fatal complication of tracheotomy. To date, there is a paucity of literature regarding pediatric TIFs. The objectives of this study were to conduct a systematic review of literature on pediatric TIF following tracheotomy and describe three demonstrative cases from our institutional experience.Methods: We conducted a systematic review using MEDLINE, Embase, Cochrane Database of Systematic Reviews, Web of Science, and CINAHL. All studies with pediatric patients (under 18 years of age) who developed TIF following tracheotomy were included.Results: Fifty-four publications met inclusion criteria, reporting on 77 cases. The most common indication for tracheotomy was prolonged intubation and the need for ventilatory support (38.6%), with neurological comorbidities being the most common indication (72.7%). The mean time to TIF was 395.7 days (95% confidence interval, 225.9-565.5). Fifty-four patients (70.1%) presented with massive hemorrhage, whereas 18 patients (23.3%) presented with a sentinel bleeding event. The most common diagnostic interventions were computed tomography scan with or without contrast and bronchoscopy (55.8%). A substantial number of patients did not have any investigations (41.6%). Surgical management occurred in 70.1% of patients. Mortality was 38.6% in reported cases with variable follow-up periods.Conclusion: TIF may occur in long-term tracheostomy-dependent children, contrary to the conventionally described 3-week postoperative period. The mortality may not be as high as previously reported with timely intervention. Our results are limited by inherent risks of bias. Further research including well-designed cohort studies are needed to guide an evidencebased approach to TIF.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Tracheo‐innominate fistula in children: A systematic review of literature

et al. 2019

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“…4 The case reported by Vianello and colleagues is the first known successful stent grafting in a pediatric case. 5 Further reports have continued to use stent grafting as the treatment choice in children with success and known stable outcomes at several weeks to 24 months after the procedure. [6][7][8] Endovascular treatment was pursued after the patient recurred postsurgical repair as repeat surgical exploration was considered to carry unacceptable risks.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Stent Graft Exclusion of an Iatrogenic Tracheoinnominate Fistula after Unsuccessful Surgical Repair

Woerner

Koo

Monroe

2018

J Clin Interv Radiol ISVIR

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A 10-year-old girl with metachromatic leukodystrophy developed a tracheoinnominate artery fistula and massive hemoptysis following tracheostomy, initially requiring open surgical repair. Massive hemoptysis recurred at 1 month due to suspected pericardial patch dehiscence. The authors herein describe the subsequent emergent treatment by stent graft exclusion and review the existing literature surrounding this rare and potentially fatal condition. AbstractKeywords ► pseudoaneurysm ► innominate artery ► stent

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“…Since Deguch et al successfully performed ESGR in a patient with TIF, 14 TIF cases, including our case, that were treated by endovascular intervention have been reported until 2012 in the world literature. 1 2 3 4 5 6 7 Most endovascular interventions were performed as the first-line treatment, except one case, in which endovascular intervention was performed as a bridge to surgical treatment. 8 Considering the fact that bleeding could be controlled in most of cases, ESGR seems to be an optimal treatment option for a TIF.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Tracheoinnominate Artery Fistula due to Stent Graft Fracture

Ahn

Son

Kim

2014

European J Pediatr Surg Rep

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Tracheoinnominate artery fistula (TIF) is one of the most dangerous complications after tracheostomy, and fetal even after surgical repair. Recently, endovascular stent has been introduced as an option for the treatment of TIF. Unfortunately, endovascular stent repair could not replace the surgery due to rare clinical reports about the long-term follow-up and complications of stent graft. More collection of clinical data are necessary for the evaluation of long-term results. We report a rare case of recurrent TIF due to stent graft fracture after endovascular stent graft insertion in the treatment of TIF, and reviewed the world literature.

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Tracheoinnominate fistula in a Duchenne muscular dystrophy patient: Successful management with an endovascular stent

Cited by 21 publications

References 11 publications

Tracheo‐innominate fistula in children: A systematic review of literature

Tracheo‐innominate fistula in children: A systematic review of literature

Endovascular Stent Graft Exclusion of an Iatrogenic Tracheoinnominate Fistula after Unsuccessful Surgical Repair

Recurrent Tracheoinnominate Artery Fistula due to Stent Graft Fracture

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