Comparison with other studies
Taechariyakul et al , published in a recent literature review of
260 cases, a comparison between surgical and endovascular interventions
for TIAF. Endovascular approach was associated with significantly lower
complication rate of 30%, compared to 50% in open surgery. A
significantly lower 30-day mortality rare of 9% in endovascular
approach was also seen, compared to 23% in open surgery9.
In a recently published systematic review by O’malley et al ,
covering 27 patients who underwent endovascular interventions for TIAF,
23% of patients were hemodynamically unstable, and 96% were treated
with stent grafts. They reported re-bleeding in 19% of patients, that
required re-intervention, and rescue sternotomy in 11%. Overall
mortality rate was 30% 10.
This current literature support endovascular treatments for
post-tracheostomy bleeding, as a safe alternative to surgery. Our
results consolidate these data.