Tracheo-innominate artery fistula (TIF) is an uncommon but frequently fatal complication of tracheostomy. Significant airway hemorrhage usually occurs after premonitory bleeding. When massive bleeding occurs, immediate control of arterial bleeding, control of the airway and subsequent definite treatment are the principles for saving lives. Without prompt surgical intervention, the outcome of this complication is grave. Physicians should maintain a high index of suspicion of TIF in any patient with a recent tracheostomy and subsequent tracheal hemorrhage.
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http://dx.doi.org/10.1177/021849230601400615 | DOI Listing |
J Clin Med
November 2024
Institute of Legal Medicine, Department of Medical and Surgical Sciences, "Magna Graecia" University of Catanzaro, 88100 Catanzaro, Italy.
Tracheostomy is an essential procedure in cases of respiratory failure in patients requiring long-term ventilation or showing airway obstruction. Tracheostomy has both immediate and long-term complications. Among these, tracheo-innominate fistula is an emergency that is a rare long-term complication.
View Article and Find Full Text PDFQatar Med J
March 2024
Division of Cardiac Intensive Care, Department of Pediatrics, Sidra Medicine, Ar-Rayyan, Qatar.
Radiol Case Rep
June 2024
Department of Diagnostic and Interventional Radiology, Kochi University, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi 783-8505, Japan.
We report 3 patients with recurrences after stent-graft placement for arterio-visceral/arterio-luminal fistulas in long-term follow-up. Two patients had ureteroarterial fistulas and the other had a tracheo-innominate artery fistula. All 3 patients had hemorrhage on initial presentation and underwent a stent-graft placement for an arterio-visceral/arterio-luminal fistula.
View Article and Find Full Text PDFDiagnostics (Basel)
January 2024
Division of Thoracic Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704302, Taiwan.
We report an angiographic image of a 58-year-old woman with profuse bleeding from a tracheo-innominate artery fistula. It may not have been possible to obtain this valuable image if adequate initial resuscitation and an over-inflated tracheostomy tube cuff had not been administered to stop bleeding during an emergency.
View Article and Find Full Text PDFAnaesthesiol Intensive Ther
December 2023
Department of Cardiovascular Diseases, University Hospital Centre Zagreb, Zagreb, Croatia.
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