Patient D
A 92-year-old man underwent percutaneous tracheotomy in the ICU,
following prolonged intubation. During the procedure, a significant
bleeding appeared in the incision site, resulting in a rapid expanding
hematoma of the neck. An immediate direct pressure controlled the
bleeding. The patient was rushed to CTA, followed by an emergency
angiography in the IR unit. Active bleeding originating from the
innominate artery was demonstrated (Fig 4A-C). Through a 10Fr. sheath
right femoral approach, a 12mm stent graft (Bard Fluency, C. R. Bard,
Inc. New Jersey, USA) was inserted to innominate artery and the common
carotid artery, covering the orifice of the right subclavian artery,
with no residual bleeding.