Ried, M. and Reger, B. and Hofmann, H. -S. (2019) Surgical treatment of tracheoarterial fistulas. CHIRURG, 90 (9). pp. 731-735. ISSN 0009-4722, 1433-0385
Full text not available from this repository. (Request a copy)Abstract
Background A tracheoarterial fistula (TAF) is an uncommon but life-threatening complication after tracheostomy. Only an immediate and targeted treatment provides a chance to survive. Objective Surgical treatment of TAF. Methods Selective review of the literature and case description. Results A TAF leads to an acute bleeding complication with displacement of the respiratory tract. The mortality rate is nearly 100% without a surgical intervention. In the literature various interventional and surgical treatment procedures are described. Rapid control of bleeding via manual compression and overinflation of the tracheal cuff are the most important steps of treatment. Subsequent emergency surgery with ligation or resection of the TAF and covering of the tracheal lesion should be performed. Extracorporeal membrane oxygenation (ECMO) and a heart-lung machine can sometimes be necessary. Conclusion Despite all treatment options the mortality rate of TAF remains high. The critical steps are a quick diagnosis of TAF, securing the airway and immediate bleeding control.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INNOMINATE ARTERY FISTULA; TRACHEOSTOMY; MANAGEMENT; Thoracic bleeding; Thoracic surgery; Emergency treatment; Complications; Imaging |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Thoraxchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 31 Mar 2020 06:36 |
| Last Modified: | 31 Mar 2020 06:36 |
| URI: | https://pred.uni-regensburg.de/id/eprint/26366 |
Actions (login required)
 |
View Item |
