Related Experiment Video
Updated: Feb 24, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Staged Endovascular and Surgical Management of Pediatric Tracheo-Innominate Artery Fistula: A Case Report
Yuchen Cao1, Masaaki Koide1, Masafumi Yashima1
1Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Insights
Tracheo-innominate artery fistula (TIF) in children is rare and dangerous. Emergency stenting can be a lifesaving bridge, but requires follow-up surgery for definitive treatment and to manage complications.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Endovascular Interventions
Background:
- Tracheo-innominate artery fistula (TIF) is a rare but life-threatening condition, particularly in pediatric patients.
- TIF necessitates urgent management due to high risks of bleeding and mortality.
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.
Related Concept Videos
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Trachea
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Aneurysm III: Interprofessional Care

