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Pre-emptive veno-venous ECMO in advanced tracheal malignancy prior to tracheal stenting
  1. Mohammad Salman Siddiqi1,
  2. Adil H Al Kindi1,
  3. Ahmed Fahmy Mandisha1 and
  4. Rashid Al Sukaiti2
  1. 1Cardiothoracic Surgery, Sultan Qaboos University Hospital, Muscat, Oman
  2. 2Radiology, SQUH, Muscat, Oman
  1. Correspondence to Dr Adil H Al Kindi; adilalkindi{at}squ.edu.om

Abstract

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.

  • head and neck cancer
  • cancer intervention
  • radiology
  • surgical oncology

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Footnotes

  • Contributors All authors contributed to the care of the patient. MSS and AHAK wrote the manuscript. AFM and RAS prepared the figures and captions. All authors reviewed the manuscript and approved it.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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