Indian Journal of ECMO

Register      Login

VOLUME 1 , ISSUE 3-4 ( July-December, 2023 ) > List of Articles

CASE REPORT

Harnessing the Potential of ECMO: A Game-changer for Tracheal Stenting

Manda Ravi Krishna, Rakesh Venuturumilli, Chukka Bharath, Malla Venkata Hariprasad

Keywords : Awake extracorporeal membrane oxygenation, Case report, Respiratory failure, Tracheal stenting, Venovenous extracorporeal membrane oxygenation

Citation Information : Krishna MR, Venuturumilli R, Bharath C, Hariprasad MV. Harnessing the Potential of ECMO: A Game-changer for Tracheal Stenting. Indian J ECMO 2023; 1 (3-4):92-95.

DOI: 10.5005/jaypee-journals-11011-0020

License: CC BY-NC 4.0

Published Online: 12-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

The use of extracorporeal membrane oxygenation (ECMO) can be beneficial when conventional ventilation methods are unsuccessful. Here, we successfully managed a patient with advanced tracheal malignancy and impending airway obstruction by implementing venovenous ECMO (VV-ECMO) before performing a critical endotracheal procedure. The VV-ECMO was securely established through the right jugular vein and the left femoral vein, under local anesthesia. The placement of a tracheal stent was then performed under the guidance of a rigid bronchoscope and fluoroscopy. Extracorporeal membrane oxygenation effectively maintained adequate oxygenation and ventilation. Venovenous extracorporeal membrane oxygenation serves as a valuable tool in supporting airway interventions for complex tracheal pathologies, especially when conventional ventilation may not be sufficient or feasible.


HTML PDF Share
  1. Malpas G, Hung O, Gilchrist A, et al. CWCJ, 2018 undefined. The use of extracorporeal membrane oxygenation in the anticipated difficult airway: A case report and systematic review. Can J Anaesth 2018;65(6):685–697. DOI: 10.1007/s12630-018-1099-x.
  2. Hicks GL Jr. The impossible intubation–what next? J Cardiovasc Surg (Torino) 1986;27(6):737–739. PMID: 3782283.
  3. Ayers ML, Beamis JF Jr. Rigid bronchoscopy in the twenty-first century. Clin Chest Med 2001;22(2):355–364. DOI: 10.1016/s0272-5231(05)70049-6.
  4. Hong Y, Jo KW, Lyu J, et al. Use of veno venous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security. J Crit Care 2013;28(5):669–674. DOI: 10.1016/j.jcrc.2013.05.020.
  5. Kim CW, Kim DH, Son BS, et al. The feasibility of extracorporeal membrane oxygenation in the variant airway problems. Ann Thorac Cardiovasc Surg 2015;21(6):517–522. DOI: 10.5761/atcs.oa.15-00073.
  6. Park J, Shin J, Kim K, et al. Respiratory support with venovenous extracorporeal membrane oxygenation during stent placement for the palliation of critical airway obstruction: Case series analysis. J Thorac Dis 2017;9(8):2599–2607. DOI: 10.21037/jtd.2017.06.88.
  7. Keeyapaj W, Alfirevic A. Carinal resection using an airway exchange catheter-assisted venovenous ECMO technique. Can J Anaesth 2012;59(11):1075–1076. DOI: 10.1007/s12630-012-9773-x.
  8. Shiraishi T, Kawahara K, Shirakusa T, et al. Primary tracheal fibrosarcoma in a child: A case of tracheal resection under ECMO support. Thorac Cardiovasc Surg 1997;45(5):252–254. DOI: 10.1055/s-2007-1013740.
  9. Piscitello GM, Bermea RS, Stokes JW, et al. Clinician ethical perspectives on extracorporeal membrane oxygenation in practice. Am J Hosp Palliat Care 2022;39(6):659–666. DOI: 10.1177/10499091211041079.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.