Treatment Strategy for Severe Airway Stenosis Due to a Thoracic Aortic Aneurysm

Kuroda, Yasuhiro; Uchida, Tetsuro; Hamasaki, Azumi; Yamashita, Atsushi; Mizumoto, Masahiro; Ishizawa, Ai; Sadahiro, Mitsuaki

doi:10.1016/j.athoracsur.2020.01.024

Cited by 2 publications

(1 citation statement)

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“…In Case 5, the pediatric patient had a history of thalassemia, which might have caused poor tolerance to hypoxia, and conventional single-lung ventilation failed to maintain the intraoperative oxygenation. The application of ECMO in the surgical treatment of tracheobronchial injuries (17) and extended central resections has also been described (Table 4) (12,23,24). Lang et al reviewed 10 cases of complex tracheobronchial surgeries with the assistance of VA-ECMO, and found no complications related to VA-ECMO (20).…”

Section: Discussionmentioning

confidence: 99%

Venovenous extracorporeal membrane oxygenation-assisted tracheobronchial surgery: a retrospective analysis and literature review

Chen¹,

Wang²,

Zhao³

et al. 2021

J Thorac Dis

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Section: Discussionmentioning

confidence: 99%

Venovenous extracorporeal membrane oxygenation-assisted tracheobronchial surgery: a retrospective analysis and literature review

Chen¹,

Wang²,

Zhao³

et al. 2021

J Thorac Dis

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Extracorporeal membrane oxygenation in critical airway interventional therapy: A review

Zhuo²,

Cheng

2023

Front. Oncol.

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IntroductionExtracorporeal membrane oxygenation (ECMO) is widely used during refractory cardiac or respiratory failure, and some case reports described ECMO utilization in critical airway interventional therapy.MethodsEligible reports about patients receiving airway interventional therapy under ECMO were retrieved from Web of Science, Embase, Medline, and Cochrane databases up to 1 August 2022.ResultsForty-eight publications including 107 patients who underwent ECMO for critical airway problems met the inclusion criteria. The critical airway problem that was reported the most was tumor-associated airway obstruction (n = 66, 61.7%). The second most reported etiology was postoperative airway collapse or stenosis (n = 19, 17.8%). The main interventional therapies applied were airway stent placement or removal (n = 61, 57.0%), mass removal (n = 22, 20.6%), and endotracheal intubation (n = 12, 11.2%) by bronchoscopy. The median ECMO duration was 39.5 hours. Eleven patients had ECMO-associated complications, including seven cases of airway hemorrhage, one case of arteriovenous fistula, one case of vein rupture and hematoma, one case of foot ischemia, and one case of neuropraxia of the cannulation site. In total, 91.6% of the patients survived and were discharged from the hospital.ConclusionECMO appears to be a viable form of life support for patients undergoing interventional therapy for critical airway problems.

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Treatment Strategy for Severe Airway Stenosis Due to a Thoracic Aortic Aneurysm

Cited by 2 publications

References 5 publications

Venovenous extracorporeal membrane oxygenation-assisted tracheobronchial surgery: a retrospective analysis and literature review

Venovenous extracorporeal membrane oxygenation-assisted tracheobronchial surgery: a retrospective analysis and literature review

Extracorporeal membrane oxygenation in critical airway interventional therapy: A review

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