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.