Staged Endovascular and Surgical Management of Pediatric Tracheo-Innominate Artery Fistula: A Case Report

Annals of Vascular Diseases 2026 Open access

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Authors: Yuchen Cao, Masaaki Koide, Masafumi Yashima, Hisashi Sugiyama, Yasumi Nakashima, Arika Matsushita, Kotaro Ishida, Yusuke Okui
DOI: 10.3400/avd.cr.25-00087
Cited by: 0

Abstract

Tracheo-innominate artery fistula (TIF) is rare but potentially fatal, especially in pediatric patients. We present a case treated by emergency endovascular stenting followed by elective open surgery. Stent grafting achieved immediate hemostasis and served as a lifesaving bridge, but its limitations-including risks of infection, rebleeding, and graft mismatch due to somatic growth-made definitive surgery necessary. Laryngoscopic findings revealed intratracheal graft exposure, prompting timely graft removal and tracheal repair. This staged strategy highlights both the value of stenting as bridging therapy and the importance of early multidisciplinary planning in pediatric TIF.

Fields of Study & Subjects

Infectious Aortic and Vascular Conditions Tracheal and airway disorders Vascular Procedures and Complications

Publication details

Journal / source
Annals of Vascular Diseases
Volume
19
Issue
1
Pages
n/a–n/a
Publication date
1 January 2026
Language
EN