Abstract
Airway stenting for severe central airway stenosis is inherently a dangerous procedure. There is the risk of critical airway obstruction due to bleeding, tumor debris, and airway perforation during the procedure. Once such situations occur, percutaneous cardiopulmonary support (PCPS) can be one of the most valuable rescue options to prevent critical hypoxic complications. At our institute, four of 49 patients who received stenting or other airway intervention required PCPS support (8%). Two of these cases required PCPS to be performed in an emergency setting during the procedure while the procedure was elective in the other 2. All procedures were performed effectively and safely without any complications caused by PCPS, including massive airway bleeding due to anticoagulant treatment. Patients were able to be weaned off PCPS uneventfully. PCPS is considered to be a valuable procedure in remedying critical hypoxic situations during airway intervention.
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Shiraishi T, Kawahara K, Shirakusa T, Inada K, Okabayashi K, Iwasaki A. Stenting for airway obstruction in the carinal region. Ann Thorac Surg 1998; 66: 1925–9.
Ayabe T, Matsuzaki Y, Edagawa M, Asado M, Onitsuka T. A novel interventional therapy using the combination of bilateral bronchial stent dilatation and percutaneous cardiopulmonary support for critical airway obstruction due to metastatic carcinomatous carina. Ann Thorac Cardiovasc Surg 1999; 5: 331–5.
Ishikawa S, Yoshida I, Otani Y, Ohtaki A, Kawashima O, Morishita Y. Intratracheal stent intubation under extracorporeal lung assist. Surg Today 1995; 25; 995–7.
Kameyama K, Maeda M, Okamoto T, Sugita A, Hayashi E, Nakamoto K. Stent intubation for the airway stenosis under PCPS (Eng abstr). Kyobu Geka 1999; 52: 1078–83.
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Read at the Fifty-sixth Annual Meeting of the Japanese Association for Thoracic Surgery, Symposium, Tokyo, November 19–21,2003.
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Shiraishi, T., Shirakusa, T., Hiratsuka, M. et al. Stenting for critical airway stenosis under percutaneous cardiopulmonary support. Jpn J Thorac Caridovasc Surg 52, 592–596 (2004). https://doi.org/10.1007/s11748-004-0032-0
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DOI: https://doi.org/10.1007/s11748-004-0032-0