PMID- 30291469 OWN - NLM STAT- MEDLINE DCOM- 20190121 LR - 20190121 IS - 1619-0904 (Electronic) IS - 1434-7229 (Linking) VI - 21 IP - 4 DP - 2018 Dec TI - Venovenous extracorporeal membrane oxygenation for the management of critical airway stenosis. PG - 479-481 LID - 10.1007/s10047-018-1070-1 [doi] AB - Venovenous extracorporeal membrane oxygenation (VV-ECMO) is used not only support gas transfer of patients suffering from respiratory failure, but also to manage hypoxic patients with critical airway obstruction during various procedures. We present a case in which we electively used VV-ECMO to facilitate tube placement and tracheal biopsy in a 67-year-old female with critical tracheal stenosis. The patient was transferred to our hospital for a surgical treatment after emergent tracheostomy for postoperative management of cerebral hemorrhage in right putamen. Her trachea was severely stenotic and just enough for a 5.5 mm tracheostomy tube. Removal of tracheostomy tube, tracheal wall biopsy and intra-tracheal tube placement were successfully performed under VV-ECMO support, drainage from inferior vena cava returned into the right ventricle (RV). RV perfusion was a very useful and effective method in VV-ECMO system, although some careful wire management was needed under fluoroscopic guidance. FAU - Yamada, Yu AU - Yamada Y AD - Department of Cardiovascular Surgery, Sakai City Medical Center, Ebaraji-cho 1-1-1, Nishi-ku, Sakai, Osaka, 593-8304, Japan. FAU - Ohata, Toshihiro AU - Ohata T AD - Department of Cardiovascular Surgery, Sakai City Medical Center, Ebaraji-cho 1-1-1, Nishi-ku, Sakai, Osaka, 593-8304, Japan. ohata-t@sakai-hospital.jp. FAU - Kitahara, Mutsunori AU - Kitahara M AD - Department of Cardiovascular Surgery, Sakai City Medical Center, Ebaraji-cho 1-1-1, Nishi-ku, Sakai, Osaka, 593-8304, Japan. FAU - Kohata, Hisakazu AU - Kohata H AD - Department of Critical Care Medicine, Sakai City Medical Center, Ebaraji-cho 1-1-1, Nishi-ku, Sakai, Osaka, 593-8304, Japan. FAU - Kumasawa, Junji AU - Kumasawa J AD - Department of Critical Care Medicine, Sakai City Medical Center, Ebaraji-cho 1-1-1, Nishi-ku, Sakai, Osaka, 593-8304, Japan. FAU - Kohno, Michihiko AU - Kohno M AD - Department of Critical Care Medicine, Sakai City Medical Center, Ebaraji-cho 1-1-1, Nishi-ku, Sakai, Osaka, 593-8304, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20181005 PL - Japan TA - J Artif Organs JT - Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs JID - 9815648 SB - IM MH - Aged MH - Airway Obstruction/complications/diagnosis/*therapy MH - *Disease Management MH - Extracorporeal Membrane Oxygenation/*methods MH - Female MH - Humans MH - Respiratory Insufficiency/diagnosis/etiology/*therapy MH - Tomography, X-Ray Computed MH - Vena Cava, Inferior OTO - NOTNLM OT - Critical airway stenosis OT - VV-ECMO EDAT- 2018/10/07 06:00 MHDA- 2019/01/22 06:00 CRDT- 2018/10/07 06:00 PHST- 2018/05/06 00:00 [received] PHST- 2018/09/28 00:00 [accepted] PHST- 2018/10/07 06:00 [pubmed] PHST- 2019/01/22 06:00 [medline] PHST- 2018/10/07 06:00 [entrez] AID - 10.1007/s10047-018-1070-1 [pii] AID - 10.1007/s10047-018-1070-1 [doi] PST - ppublish SO - J Artif Organs. 2018 Dec;21(4):479-481. doi: 10.1007/s10047-018-1070-1. Epub 2018 Oct 5.