Feasibility of Helical CT in the Diagnosis and Management of Tracheo-Innominate Artery Fistula and Tracheo-Innominate Artery Allovascularity after Tracheostomy in Patients with Severe Neurological Disorders

• Sugiyama Nobuyoshi

  Department of Pediatrics, National Hospital Organization, Kanagawa National Hospital Department of Pediatrics, Tokai University School of Medicine

• Karasawa Kumiko

  Department of Pediatrics, National Hospital Organization, Kanagawa National Hospital

• Ohno Youichiro

  Department of Pediatrics, National Hospital Organization, Kanagawa National Hospital Department of Pediatrics, Tokai University School of Medicine

Bibliographic Information

Other Title

• 三次元ｈｅｌｉｃａｌ　ＣＴが予防・診断に有用であった気管腕頭動脈瘻と気管腕頭動脈異常血管の２例

Abstract

Tracheo-innominate artery fistula (TIF) is one of the most important complications of tracheostomy in that it is often life threatening. We experienced two cases with TIF and tracheo-innominate artery allovascularity, in which three-dimensional helical CT (3DCT) was useful in making the diagnosis of TIF and tracheo-innominate artery allovascularity. In one case, acute hemorrhage occurred during the procedure of routine tube exchange, and hemostasis was achieved by inflating the cuff of the tracheostomy tube. After TIF was confirmed by 3DCT, surgical ligation of the innominate artery was performed. In the other case, the recognition of a pulsating movement of the tracheostomy tube prompted us to perform 3DCT, which demonstrated a collateral branch from the innominate artery to the trachea. Laryngotracheal separation was performed to prevent hemorrhagic events in the future. For patients with severe neurological disorders, 3DCT has the advantage that only a short time is required to produce a digtal image demonstrating the structure surrounding the trachea, which is necessary for the management of the patients'airway.

Journal

• NO TO HATATSU

  NO TO HATATSU 38 (6), 453-456, 2006

  THE JAPANESE SOCIETY OF CHILD NEUROLOGY

Keywords

• 気管腕頭動脈瘻
• 気管腕頭動脈異常血管
• 重症心身障害児 (者)
• 下位気管切開
• 三次元helical CT

Details

• CRID: 1390282679530493696
• NII Article ID: 130004183817
• NII Article ID: 10018813811
• NII Book ID: AN0020232X
• DOI: 10.11251/ojjscn1969.38.453
• COI: 1:STN:280:DC%2BD28nmtVWiug%3D%3D
• ISSN: 18847668
• ISSN: 00290831
• PubMed: 17094566
• Web Site: https://search.jamas.or.jp/link/ui/2007089735
• Text Lang: ja
• Data Source:
  • JaLC
  • PubMed
  • CiNii Articles
• Abstract License Flag: Disallowed