Patient history
A 50‐year‐old male were hospitalized in ICU for a critical COVID-19. The
patient required curative anticoagulant therapy for a right internal
jugular thrombosis and were tracheotomized seven days (d7) after its
admission to be weaned from the mechanical ventilation. Patient was
discharged from the ICU at two weeks (d14) and he was transferred into a
conventional hospitalization department. Seven days after the ICU
discharge (d21), patient reported neck discomfort and important bleeding
around the tracheotomy tube. The neck CT-scan revealed a pseudoaneurysm
of the cricothyroid artery, which was closed from the tracheotomy tube
in neck flexion position (Figure 1a, b). The pseudo-aneurysm was
attributed to the vessel abrasion by the tracheotomy tube. According to
the comorbidities of patient and the risk of aerosolization, an
experimental percutaneous endovascular intervention was proposed to
patient.