Tracheoinnominate fistula (TIF) is an uncommon, life-threatening complication that typically occurs when a tracheostomy tube erodes into the posterior aspect of the innominate artery. Although TIF occurs most commonly after tracheostomy, it has also been reported following other procedures in this anatomic region, including tracheal resection and tracheal stenting. As with all infrequent surgical complications, it is essential for the clinician to maintain a high index of suspicion for TIF when evaluating a patient with any amount of peristomal hemorrhage or hemoptysis. It is equally important that physicians who care for patients at risk for TIF have a clear understanding of the emergency management and operative correction of this frequently fatal complication.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.
Content published before 2002 is available via pay-per-view purchase only.
Subscribe:Subscribe to Thoracic Surgery Clinics
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Uber einge seltenere nach krankheiten, nach der tracheotomie wegen diphtheritis.Archives Klinical Chirurgery. 1879; 24 ([in German]): 238
- Fatal hemorrhage following tracheostomy for laryngeal diphtheria.JAMA. 1924; 82: 1581
- Fatal hemorrhage from the innominate artery after tracheostomy.Ann Surg. 1965; 162: 1005
- Fistula between innominate artery and trachea.Arch Surg. 1968; 96: 401-402
- Tracheal-innominate and tracheal-esophageal fistula.in: Wolfe W.G. Complications in thoracic surgery. Mosby-Year Book, St. Louis (MO)1992: 294
- Postintubation tracheal stenosis. Treatment and results.J Thorac Cardiovasc Surg. 1995; 109: 486-492
- Tracheo-innominate artery fistula.J Am ColI Surg. 1994; 179: 626-634
- Tracheo-innominate artery erosion: successful surgical management of a devastating complication.Ann Surg. 1976; 184: 194-204
- Innominate artery rupture. A major complication of tracheal surgery.Ann Thorac Surg. 1975; 20: 671-677
- The evolution of tracheal injury due to ventilatory assistance through cuffed tubes: a pathologic study.Ann Surg. 1969; 169: 334-338
- Tracheoarterial fistula: a complication of tracheostomy in patients with brain stem injury.J Trauma. 1972; 12: 140-143
- Cervical exenteration.Ann Thorac Surg. 1990; 49: 401-408
- Successful management of a tracheo-innominate artery fistula following placement of a wire self-expandable tracheal Gianturco stent.Eur J Cardiothorac Surg. 1993; 7: 615-616
- Fistula between the trachea and innominate artery—a rare complication following tracheostenosis treatment with silastic tubes.Laryngorhinootologie. 1999; 78: 91-96
- Massive brachiocephalic artery bleeding due to a Gianturco tracheal stent.J Vasc Interv Radiol. 1993; 4: 289-291
- Trachea-innominate artery fistula: successful management of three consecutive patients.Ann Thorac Surg. 1977; 24: 439-447
- Definitive management of innominate artery hemorrhage complicating tracheostomy.JAMA. 1972; 220: 577-579
- Variation in the origin of arteries derived from the aortic arch in American whites and Negroes.Anat Rec. 1935; 62: 139
© 2003 Elsevier Inc. Published by Elsevier Inc. All rights reserved.