Airway Reconstruction supported by Extracorporeal Membrane Oxygenation_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

PuHong ¹ ,  HuangXiaobo ¹ , LiJiajia ¹ , HuangJiang ² , YuXiaoxu ³ , LiXiangkui ⁴

1. Department of Critical Care Medicine, Sichuan Provincial People's Hospital, Chengdu, Sichuan, 610072, China;
2. ;
3. ;
4. ;

Corresponding author：

HuangXiaobo, Email: lc3428@126.com

Keywords：

Extracorporeal membrane oxygenation; Airway reconstruction; Tracheal neoplasms; Tracheal stenosis

DOI：

10.7507/1671-6205.2016038

Video：

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Objective To explore the feasibility and safety of extracorporeal membrane oxygenation (ECMO) to support the airway reconstruction for the patients with airway obstruction or stenosis who cannot be ventilated routinely. Methods There were 3 patients received trachea reconstruction procedures assisted by ECMO. Among the patients, 2 cases with tracheal neoplasms underwent fibrobrochoscopy treatments, another one with endotracheal stenosis and fistula received tracheoplasty and semi-tracheostomy. Results ECMO can provide enough oxygenation for the patients with airway obstruction or stenosis and more time for advanced therapies. All three patients recovered after interventional surgeries, in whom one case died due to multiple organ failure caused by esophageal carcinoma metastasis after 3 months, and the others survived with dyspnea classification of 2-3 grade. Conclusion ECMO can be a safe and effective approch for the patients who cannot be ventilated conventionally in airway reconstruction.

Citation： PuHong, HuangXiaobo, LiJiajia, HuangJiang, YuXiaoxu, LiXiangkui. Airway Reconstruction supported by Extracorporeal Membrane Oxygenation. Chinese Journal of Respiratory and Critical Care Medicine, 2016, 15(2): 161-165. doi: 10.7507/1671-6205.2016038 Copy

1.	龙村. 体外膜肺氧合循环支持专家共识. 中国体外循环杂志, 2014, 12: 65-67.
2.	Stubarg RC, Adams L.Textbook of respiratory medicine. Philadelphia: Saunders, 1994, 511-512.
3.	Australia and New Zealand Extracorporeal Membrane Oxygenation(ANZ ECMO) Influenza Investigators, Davies A, Jones D, Bailey M, et al. Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome.JAMA, 2009, 302: 1888-1895.
4.	陈颖, 陈静瑜.肺移植术后早期发生严重原发性移植物失功的诊治(附10例报告).中国呼吸与危重监护杂志, 2012, 11: 73-75.
5.	Bermudez CA, Adusumilli PS, McCurry KR, et al. Extracorporeal membrane oxygenation for primary graft dysfunction after lung transplantation: long-term survival.Ann Thorac Surg, 2009, 87: 854-860.
6.	赵举, 龙村. 体外膜肺氧合支持治疗新进展. 中国体外循环杂志, 2014, 12: 62-64.
7.	Mathisen DJ, Grillo HC. Endoscopic relief of malignant airway obstruction. Ann Thorac surg, 1989, 48: 469-475.
8.	Collar RM, Taylor JC, Hogikyan ND, et al.Awake extracorporeal membrane oxygenation for management of critical distal tracheal obstruction.Otolaryngol Head Neck Surg, 2010, 142: 618-620.
9.	鲁会卿, 张强, 于艳宏, 等.体外膜肺氧合在气管肿瘤切除中的应用. 齐鲁医学杂志, 2015, 30: 112-113.
10.	易丽, 黄絮, 李敏, 等.体外膜氧合辅助下救治严重气道阻塞2例报告及文献复习.中国实用内科杂志, 2015, 35: 865-867.
11.	刘志光, 张卫东, 吴怀球.支气管镜直视下气道支架置入治疗恶性中心气道狭窄30 例.中国内镜杂志, 2013, 19: 385-388.
12.	叶俊, 方正, 李兵, 等.经支气管镜介入治疗中心性气道狭窄.中国呼吸与危重监护杂志, 2011, 10: 408-410.
13.	张庆泉, 王强, 姜绍红. 气管切开内镜下治疗气管肿瘤的临床观察.中国耳鼻咽喉头颈外科, 2012, 19: 583-584.
14.	范国华, 涂仲凡, 高尚志, 等.11例气管肿瘤的外科治疗.中国肿瘤临床, 2004, 31: 331-333.
15.	Gao H, Zhu B, Yi J, et al.Urgent tracheal resction and reconstruction assisted by temporary cardiopulmonary bypass: a case report.Chin Med J, 2013, 28: 55-57.
16.	汪蓉, 唐炯, 罗素新.成人体外膜肺氧合临床研究进展.心血管病学进展, 2015, 36: 495-499.
17.	陈春艳, 祁绍艳, 刘小军, 等.河南省首例应用体外膜肺氧合技术治疗左侧主支气管断裂.郑州大学学报(医学版), 2014, 49: 413-415.
18.	陈愉, 李时悦, 陈德坚, 等. 体外膜肺氧合支持下支气管支架植入救治支气管狭窄合并严重呼吸衰竭一例并文献复习. 中华临床医师杂志, 2011, 5: 4223-4227.
19.	刘长文, 胡炜, 胡伟航, 等.体外膜肺氧合抢救一例急性暴发型心肌炎.中国呼吸与危重监护杂志, 2010, 9: 541.
20.	田丰, 王小平, 李小飞, 等. 体外膜肺氧合在气管肿瘤外科治疗中的辅助应用.现代肿瘤医学, 2009, 17: 111-113.
21.	Conrad SA, Rycus PT, Dalton H. Extracorporeal Life Support Registry Report 2004. ASAIO J, 2005, 51: 4-10.

1. 龙村. 体外膜肺氧合循环支持专家共识. 中国体外循环杂志, 2014, 12: 65-67.
2. Stubarg RC, Adams L.Textbook of respiratory medicine. Philadelphia: Saunders, 1994, 511-512.
3. Australia and New Zealand Extracorporeal Membrane Oxygenation(ANZ ECMO) Influenza Investigators, Davies A, Jones D, Bailey M, et al. Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome.JAMA, 2009, 302: 1888-1895.
4. 陈颖, 陈静瑜.肺移植术后早期发生严重原发性移植物失功的诊治(附10例报告).中国呼吸与危重监护杂志, 2012, 11: 73-75.
5. Bermudez CA, Adusumilli PS, McCurry KR, et al. Extracorporeal membrane oxygenation for primary graft dysfunction after lung transplantation: long-term survival.Ann Thorac Surg, 2009, 87: 854-860.
6. 赵举, 龙村. 体外膜肺氧合支持治疗新进展. 中国体外循环杂志, 2014, 12: 62-64.
7. Mathisen DJ, Grillo HC. Endoscopic relief of malignant airway obstruction. Ann Thorac surg, 1989, 48: 469-475.
8. Collar RM, Taylor JC, Hogikyan ND, et al.Awake extracorporeal membrane oxygenation for management of critical distal tracheal obstruction.Otolaryngol Head Neck Surg, 2010, 142: 618-620.
9. 鲁会卿, 张强, 于艳宏, 等.体外膜肺氧合在气管肿瘤切除中的应用. 齐鲁医学杂志, 2015, 30: 112-113.
10. 易丽, 黄絮, 李敏, 等.体外膜氧合辅助下救治严重气道阻塞2例报告及文献复习.中国实用内科杂志, 2015, 35: 865-867.
11. 刘志光, 张卫东, 吴怀球.支气管镜直视下气道支架置入治疗恶性中心气道狭窄30 例.中国内镜杂志, 2013, 19: 385-388.
12. 叶俊, 方正, 李兵, 等.经支气管镜介入治疗中心性气道狭窄.中国呼吸与危重监护杂志, 2011, 10: 408-410.
13. 张庆泉, 王强, 姜绍红. 气管切开内镜下治疗气管肿瘤的临床观察.中国耳鼻咽喉头颈外科, 2012, 19: 583-584.
14. 范国华, 涂仲凡, 高尚志, 等.11例气管肿瘤的外科治疗.中国肿瘤临床, 2004, 31: 331-333.
15. Gao H, Zhu B, Yi J, et al.Urgent tracheal resction and reconstruction assisted by temporary cardiopulmonary bypass: a case report.Chin Med J, 2013, 28: 55-57.
16. 汪蓉, 唐炯, 罗素新.成人体外膜肺氧合临床研究进展.心血管病学进展, 2015, 36: 495-499.
17. 陈春艳, 祁绍艳, 刘小军, 等.河南省首例应用体外膜肺氧合技术治疗左侧主支气管断裂.郑州大学学报(医学版), 2014, 49: 413-415.
18. 陈愉, 李时悦, 陈德坚, 等. 体外膜肺氧合支持下支气管支架植入救治支气管狭窄合并严重呼吸衰竭一例并文献复习. 中华临床医师杂志, 2011, 5: 4223-4227.
19. 刘长文, 胡炜, 胡伟航, 等.体外膜肺氧合抢救一例急性暴发型心肌炎.中国呼吸与危重监护杂志, 2010, 9: 541.
20. 田丰, 王小平, 李小飞, 等. 体外膜肺氧合在气管肿瘤外科治疗中的辅助应用.现代肿瘤医学, 2009, 17: 111-113.
21. Conrad SA, Rycus PT, Dalton H. Extracorporeal Life Support Registry Report 2004. ASAIO J, 2005, 51: 4-10.

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