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.	?龍村. 體外膜肺氧合循環支持專家共識. 中國體外循環雜志, 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.	陳穎, 陳靜瑜.肺移植術后早期發生嚴重原發性移植物失功的診治(附10例報告).中國呼吸與危重監護雜志, 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.	趙舉, 龍村. 體外膜肺氧合支持治療新進展. 中國體外循環雜志, 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.	魯會卿, 張強, 于艷宏, 等.體外膜肺氧合在氣管腫瘤切除中的應用. 齊魯醫學雜志, 2015, 30: 112-113.
10.	易麗, 黃絮, 李敏, 等.體外膜氧合輔助下救治嚴重氣道阻塞2例報告及文獻復習.中國實用內科雜志, 2015, 35: 865-867.
11.	劉志光, 張衛東, 吳懷球.支氣管鏡直視下氣道支架置入治療惡性中心氣道狹窄30 例.中國內鏡雜志, 2013, 19: 385-388.
12.	葉俊, 方正, 李兵, 等.經支氣管鏡介入治療中心性氣道狹窄.中國呼吸與危重監護雜志, 2011, 10: 408-410.
13.	張慶泉, 王強, 姜紹紅. 氣管切開內鏡下治療氣管腫瘤的臨床觀察.中國耳鼻咽喉頭頸外科, 2012, 19: 583-584.
14.	范國華, 涂仲凡, 高尚志, 等.11例氣管腫瘤的外科治療.中國腫瘤臨床, 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, 羅素新.成人體外膜肺氧合臨床研究進展.心血管病學進展, 2015, 36: 495-499.
17.	陳春艷, 祁紹艷, 劉小軍, 等.河南省首例應用體外膜肺氧合技術治療左側主支氣管斷裂.鄭州大學學報(醫學版), 2014, 49: 413-415.
18.	陳愉, 李時悅, 陳德堅, 等. 體外膜肺氧合支持下支氣管支架植入救治支氣管狹窄合并嚴重呼吸衰竭一例并文獻復習. 中華臨床醫師雜志, 2011, 5: 4223-4227.
19.	劉長文, 胡煒, 胡偉航, 等.體外膜肺氧合搶救一例急性暴發型心肌炎.中國呼吸與危重監護雜志, 2010, 9: 541.
20.	田豐, 王小平, 李小飛, 等. 體外膜肺氧合在氣管腫瘤外科治療中的輔助應用.現代腫瘤醫學, 2009, 17: 111-113.
21.	Conrad SA, Rycus PT, Dalton H. Extracorporeal Life Support Registry Report 2004. ASAIO J, 2005, 51: 4-10.

1. ?龍村. 體外膜肺氧合循環支持專家共識. 中國體外循環雜志, 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. 陳穎, 陳靜瑜.肺移植術后早期發生嚴重原發性移植物失功的診治(附10例報告).中國呼吸與危重監護雜志, 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. 趙舉, 龍村. 體外膜肺氧合支持治療新進展. 中國體外循環雜志, 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. 魯會卿, 張強, 于艷宏, 等.體外膜肺氧合在氣管腫瘤切除中的應用. 齊魯醫學雜志, 2015, 30: 112-113.
10. 易麗, 黃絮, 李敏, 等.體外膜氧合輔助下救治嚴重氣道阻塞2例報告及文獻復習.中國實用內科雜志, 2015, 35: 865-867.
11. 劉志光, 張衛東, 吳懷球.支氣管鏡直視下氣道支架置入治療惡性中心氣道狹窄30 例.中國內鏡雜志, 2013, 19: 385-388.
12. 葉俊, 方正, 李兵, 等.經支氣管鏡介入治療中心性氣道狹窄.中國呼吸與危重監護雜志, 2011, 10: 408-410.
13. 張慶泉, 王強, 姜紹紅. 氣管切開內鏡下治療氣管腫瘤的臨床觀察.中國耳鼻咽喉頭頸外科, 2012, 19: 583-584.
14. 范國華, 涂仲凡, 高尚志, 等.11例氣管腫瘤的外科治療.中國腫瘤臨床, 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, 羅素新.成人體外膜肺氧合臨床研究進展.心血管病學進展, 2015, 36: 495-499.
17. 陳春艷, 祁紹艷, 劉小軍, 等.河南省首例應用體外膜肺氧合技術治療左側主支氣管斷裂.鄭州大學學報(醫學版), 2014, 49: 413-415.
18. 陳愉, 李時悅, 陳德堅, 等. 體外膜肺氧合支持下支氣管支架植入救治支氣管狹窄合并嚴重呼吸衰竭一例并文獻復習. 中華臨床醫師雜志, 2011, 5: 4223-4227.
19. 劉長文, 胡煒, 胡偉航, 等.體外膜肺氧合搶救一例急性暴發型心肌炎.中國呼吸與危重監護雜志, 2010, 9: 541.
20. 田豐, 王小平, 李小飛, 等. 體外膜肺氧合在氣管腫瘤外科治療中的輔助應用.現代腫瘤醫學, 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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