Ramakrishnan, Vijay R.Kaefer, Samuel L.2025-02-202025-02-202025Ramakrishnan VR, Kaefer SL. High-Riding Innominate Artery: Booby Trap for ICU Tracheotomy. Laryngoscope. 2025;135(2):626-628. doi:10.1002/lary.31769https://hdl.handle.net/1805/45893Despite tracheotomy being a routine procedure, it is not rare to encounter anatomic irregularities that can compromise its success. In this report, we describe a case in which a high riding innominate artery was identified within the surgical trajectory moments before incision, which ultimately necessitated airway securement using an alternative laryngological procedure.en-USAttribution-NonCommercial-NoDerivatives 4.0 InternationalComprehensive otolaryngologyLaryngologyBroncho‐esophagologyTracheotomyVocal fold paralysis/paresisArticle