Left Main Bronchus Obstruction in a Patient with Small-cell Lung Cancer Successfully Treated with Venovenous Extracorporeal Membrane Oxygenation

被引：0

作者：

Nagai, Tatsuya ^{[1
]}

Yoshida, Kyoko

Otsuki, Ayumu

So, Yuko

Karumai, Toshiyuki

Sugimura, Hiroshi

Tachibana, Yuri

Fukuoka, Junya

Ito, Hiroyuki

Nakashima, Kei

机构：

[1] Kameda Med Ctr, Dept Pulmonol, Kamogawa, Japan

来源：

INTERNAL MEDICINE | 2024年 / 63卷 / 02期

关键词：

lung cancer; extracorporeal membrane oxygenation; respiratory failure; airway obstruction; bronchoscopic surgery; CENTRAL AIRWAY-OBSTRUCTION; SUPPORT; ADULT; LIFE;

D O I：

10.2169/internalmedicine.1005-22

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 VVECMO, 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.

引用

页码：293 / 298

页数：6

共 25 条

[1] Small-Cell Lung Cancer Treatment of Newly Diagnosed Patients with Poor Performance Status [J].

Aida, Yuka ;

Nakazawa, Kensuke ;

Shiozawa, Toshihiro ;

Ogawa, Ryoko ;

Kiwamoto, Takumi ;

Morishima, Yuko ;

Sakamoto, Toru ;

Sekine, Ikuo ;

Hizawa, Nobuyuki .

CASE REPORTS IN ONCOLOGY, 2019, 12 (02) :613-620

[2] Successful empirical erlotinib treatment of a mechanically ventilated patient newly diagnosed with metastatic lung adenocarcinoma [J].

Bosch-Barrera, Joaquim ;

Sais, Elia ;

Lorencio, Carol ;

Porta, Rut ;

Izquierdo, Angel ;

Menendez, Javier A. ;

Brunet, Joan ;

Sirvent, Josep Maria ;

Rosell, Rafael .

LUNG CANCER, 2014, 86 (01) :102-104

[3] Reframing recalcitrance for small-cell lung cancer [J].

Blackhall, F. H. .

ANNALS OF ONCOLOGY, 2021, 32 (07) :829-830

[4] Central airway obstruction [J].

Ernst, A ;

Feller-Kopman, D ;

Becker, HD ;

Mehta, AC .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2004, 169 (12) :1278-1297

[5] Small Cell Lung Cancer, Version 2.2022 [J].

Ganti, Apar Kishor P. ;

Loo, Billy W. ;

Bassetti, Michael ;

Blakely, Collin ;

Chiang, Anne ;

D'Amico, Thomas A. ;

D'Avella, Christopher ;

Dowlati, Afshin ;

Downey, Robert J. ;

Edelman, Martin ;

Florsheim, Charles ;

Gold, Kathryn A. ;

Goldman, Jonathan W. ;

Grecula, John C. ;

Hann, Christine ;

Lams, Wade ;

Iyengar, Puneeth ;

Kelly, Karen ;

Khalil, Maya ;

Koczywas, Marianna ;

Merritt, Robert E. ;

Mohindra, Nisha ;

Molina, Julian ;

Moran, Cesar ;

Pokharel, Saraswati ;

Puri, Sonam ;

Qin, Angel ;

Rusthoven, Chad ;

Sands, Jacob ;

Santana-Davila, Rafael ;

Shafique, Michael ;

Waqar, Saiama N. ;

Gregory, Kristina M. ;

Hughes, Miranda .

JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, 2021, 19 (12) :1441-1464

[6] Central airway obstruction: is it time to move forward? [J].

Guedes, Fernando ;

Branquinho, Mariana V. ;

Sousa, Ana C. ;

Alvites, Rui D. ;

Bugalho, Antonio ;

Mauricio, Ana Colette .

BMC PULMONARY MEDICINE, 2022, 22 (01)

[7] Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security [J].

Hong, Yoonki ;

Jo, Kyung-Wook ;

Lyu, Jiwon ;

Huh, Jin Won ;

Hong, Sang Bum ;

Jung, Sung-Ho ;

Kim, Jin Hyoung ;

Choi, Chang Min .

JOURNAL OF CRITICAL CARE, 2013, 28 (05) :669-674

[8] CLINICAL MANIFESTATIONS OF LUNG-CANCER [J].

HYDE, L ;

HYDE, CI .

CHEST, 1974, 65 (03) :299-306

[9] Successful use of extracorporeal membrane oxygenation for airway-obstructing lung adenocarcinoma [J].

Kitazawa, Shinsuke ;

Kobayashi, Naohiro ;

Ueda, Sho ;

Enomoto, Yuki ;

Inoue, Yoshiaki ;

Shiozawa, Toshihiro ;

Sekine, Ikuo ;

Kawai, Hitomi ;

Noguchi, Masayuki ;

Sato, Yukio .

THORACIC CANCER, 2020, 11 (10) :3024-3028

[10] Feasibility of Venovenous Extracorporeal Membrane Oxygenation Without Systemic Anticoagulation [J].

Kurihara, Chitaru ;

Walter, James M. ;

Karim, Azad ;

Thakkar, Sanket ;

Saine, Mark ;

Odell, David D. ;

Kim, Samuel ;

Tomic, Rade ;

Wunderink, Richard G. ;

Budinger, G. R. Scott ;

Bharat, Ankit .

ANNALS OF THORACIC SURGERY, 2020, 110 (04) :1209-1215

← 1 2 3 →