Patient C
An 80-year-old woman presented had undergone tracheostomy following prolonged intubation 8 months ago. She was admitted to the ED due to acute and significant bleeding from the stomal area. Hemostasis was achieved by inflating the tracheostomy balloon and local dressing pressure. An emergency angiography demonstrated TIAF (Fig 3A+B). Through a 10Fr. sheath right femoral approach, a 13.5mm stent graft was placed in the innominate artery, followed by 14mm balloon inflation. Control of the bleeding was achieved. The patient was discharged from the ICU after a week. On one year follow-up the patient remained asymptomatic.