PMID- 37258171 OWN - NLM STAT- MEDLINE DCOM- 20240116 LR - 20240215 IS - 1349-7235 (Electronic) IS - 0918-2918 (Print) IS - 0918-2918 (Linking) VI - 63 IP - 2 DP - 2024 Jan 15 TI - Left Main Bronchus Obstruction in a Patient with Small-cell Lung Cancer Successfully Treated with Venovenous Extracorporeal Membrane Oxygenation. PG - 293-298 LID - 10.2169/internalmedicine.1005-22 [doi] AB - Lung cancer can cause fatal central airway obstruction. Rapid airway clearance is necessary in some cases, but ventilator management may be insufficient to maintain oxygenation levels. Venovenous extracorporeal membrane oxygenation (VV-ECMO) may be an effective rescue therapy for respiratory failure, but its efficacy in treating tumor-related airway obstruction is unknown. We herein report a case of central airway obstruction and severe acute respiratory failure due to small-cell lung cancer successfully treated with VV-ECMO, bronchoscopic airway intervention, and chemotherapy. VV-ECMO can be an effective option for the treatment of central airway obstruction with acute respiratory failure due to lung cancer. FAU - Nagai, Tatsuya AU - Nagai T AD - Department of Pulmonology, Kameda Medical Center, Japan. FAU - Yoshida, Kyoko AU - Yoshida K AD - Department of Pulmonology, Kameda Medical Center, Japan. FAU - Otsuki, Ayumu AU - Otsuki A AD - Department of Pulmonology, Kameda Medical Center, Japan. FAU - So, Yuko AU - So Y AD - Department of Intensive Care Medicine, Kameda Medical Center, Japan. FAU - Karumai, Toshiyuki AU - Karumai T AD - Department of Intensive Care Medicine, Kameda Medical Center, Japan. FAU - Sugimura, Hiroshi AU - Sugimura H AD - Department of Thoracic Surgery, Kameda Medical Center, Japan. FAU - Tachibana, Yuri AU - Tachibana Y AD - Department of Clinical Pathology, Kameda Medical Center, Japan. FAU - Fukuoka, Junya AU - Fukuoka J AD - Department of Clinical Pathology, Kameda Medical Center, Japan. FAU - Ito, Hiroyuki AU - Ito H AD - Department of Pulmonology, Kameda Medical Center, Japan. FAU - Nakashima, Kei AU - Nakashima K AD - Department of Pulmonology, Kameda Medical Center, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20230531 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 SB - IM MH - Humans MH - *Extracorporeal Membrane Oxygenation MH - *Lung Neoplasms/complications/therapy MH - *Respiratory Insufficiency/etiology/therapy MH - *Airway Obstruction/therapy/complications MH - *Respiratory Distress Syndrome MH - *Small Cell Lung Carcinoma/complications/therapy MH - Bronchi PMC - PMC10864078 OTO - NOTNLM OT - airway obstruction OT - bronchoscopic surgery OT - extracorporeal membrane oxygenation OT - lung cancer OT - respiratory failure COIS- The authors state that they have no Conflict of Interest (COI). EDAT- 2023/06/01 01:08 MHDA- 2024/01/16 06:42 PMCR- 2024/01/15 CRDT- 2023/05/31 21:38 PHST- 2024/01/16 06:42 [medline] PHST- 2023/06/01 01:08 [pubmed] PHST- 2023/05/31 21:38 [entrez] PHST- 2024/01/15 00:00 [pmc-release] AID - 10.2169/internalmedicine.1005-22 [doi] PST - ppublish SO - Intern Med. 2024 Jan 15;63(2):293-298. doi: 10.2169/internalmedicine.1005-22. Epub 2023 May 31.