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Updated: Apr 21, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
A successful resuscitation of a young man with tracheo-innominate artery fistula
Xiangtao Peng1, Fangcheng Xu2, Lu Gao2
1Department of Radiology, No. 971 Hospital of the PLA Navy, Qingdao 266071, China.
Abstract:
Tracheo-innominate artery fistula is a rare but life-threatening complication of tracheostomy, even in chronic cases. A 22-year-old comatose man with a 2-year tracheostomy presented with sentinel bleeding followed by massive hemorrhage. Immediate measures included airway control, digital compression, and fluid resuscitation. Angiography confirmed a 3-mm fistula, and endovascular stenting achieved hemostasis. The patient was extubated on Day 5, with patent stent at 1-month follow-up but remained vegetative. Early recognition of sentinel bleeding and prompt endovascular intervention are critical for survival.
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