Recurrent innominate artery hemorrhage after stent erosion treated with embolization and subclavian bypass

Tracheoinnominate fistula (TIF) is a fatal complication that can occur following tracheostomy. Innominate artery stenting has been reported as an effective intervention for managing this condition. This report presents a 72-year-old patient with a complex surgical history who experienced recurrent tracheostomy bleeding three months after innominate artery stenting due to erosion of the previously placed stent. The patient underwent embolization of the innominate artery and a left-to-right subclavian artery bypass. This case suggests that innominate artery stenting can serve as a temporizing measure and bridge to definitive management, and it highlights the need for further research to evaluate its long-term efficacy and role in the treatment of TIF.