VV-ECMO-Assisted High-Risk Endobronchial Stenting as Rescue for Asphyxiating Mediastinal Mass

Brandon T. Nokes, Laszlo Vaszar, Jama Jahanyar, Karen L. Swanson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The use of venovenous extracorporeal membrane oxygenation (VV-ECMO) has traditionally been limited to a narrow set of clinical circumstances, such as acute hypoxic respiratory failure, submassive pulmonary embolism, and cardiopulmonary collapse. Within the pediatric population, there have been cases of VV-ECMO in the context of extrinsic airway compression by a mediastinal mass, typically in the setting of either a lymphoma or germ cell tumors. However, the use of VV-ECMO for adults with extrinsic airway compression is comparatively limited. More specifically, VV-ECMO has been used as a bridge for tracheal reconstruction in both children and adults. Although, it has not been used in adults in the context of palliative endobronchial stent placement. We present a case of a 49-year-old woman with refractory multiple myeloma and extramedullary plasmacytoma presenting with acute hypoxic respiratory failure from extrinsic airway compression by a mediastinal plasmacytoma. We were able to use VV-ECMO to assist with endobronchial stent placement, followed by radiation therapy, and ultimately hospital discharge. In this article, we also review the literature surrounding VV-ECMO for extrinsic airway compression.

Original languageEnglish (US)
Pages (from-to)144-147
Number of pages4
JournalJournal of Bronchology and Interventional Pulmonology
Volume25
Issue number2
DOIs
StatePublished - Jan 1 2018

Fingerprint

Extracorporeal Membrane Oxygenation
Plasmacytoma
Respiratory Insufficiency
Stents
Germ Cell and Embryonal Neoplasms
Multiple Myeloma
Pulmonary Embolism
Lymphoma
Radiotherapy
Pediatrics
Population

Keywords

  • advanced bronchoscopy
  • endobronchial stent
  • plasmacytoma
  • VV-ECMO

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

VV-ECMO-Assisted High-Risk Endobronchial Stenting as Rescue for Asphyxiating Mediastinal Mass. / Nokes, Brandon T.; Vaszar, Laszlo; Jahanyar, Jama; Swanson, Karen L.

In: Journal of Bronchology and Interventional Pulmonology, Vol. 25, No. 2, 01.01.2018, p. 144-147.

Research output: Contribution to journalArticle

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