Pre-emptive veno-venous ECMO in advanced tracheal malignancy prior to tracheal stenting

Mohammad Salman Siddiqi, Adil H. Al Kindi, Ahmed Fahmy Mandisha, Rashid Al Sukaiti

Research output: Contribution to journalArticlepeer-review

Abstract

Extracorporeal membrane oxygenation (ECMO) is helpful in providing ventilatory support when other conventional methods of ventilation fail. We report a case of successful management of advanced tracheal malignancy with impeding airway obstruction where veno-venous ECMO (VV-ECMO) was instituted prior to performing critical endotracheal procedure. After securing the VV-ECMO through right jugular vein and left femoral vein under local anaesthesia, the tracheal stent placement was conducted under flexible bronchoscope and fluoroscope control. Oxygenation and carbon dioxide levels were maintained by the ECMO. VV-ECMO is a useful adjunct in the management of subglottic difficult airway obstruction due to complex tracheal pathology where conventional ventilation may not be possible or adequate.

Original languageEnglish
JournalBMJ Case Reports
Volume14
Issue number8
DOIs
Publication statusPublished - Aug 17 2021
Externally publishedYes

Keywords

  • cancer intervention
  • head and neck cancer
  • radiology
  • surgical oncology

ASJC Scopus subject areas

  • Medicine(all)

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