Pre-emptive veno-venous ECMO in advanced tracheal malignancy prior to tracheal stenting.
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.
['Siddiqi|Mohammad Salman|MS|', 'Al Kindi|Adil H|AH|http://orcid.org/0000-0002-8864-2627', 'Mandisha|Ahmed Fahmy|AF|', 'Al Sukaiti|Rashid|R|']
D000402:Airway Obstruction D015199:Extracorporeal Membrane Oxygenation D005260:Female D006801:Humans D008875:Middle Aged D015607:Stents D014132:Trachea D014134:Tracheal Neoplasms
cancer intervention head and neck cancer radiology surgical oncology