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Elective extra corporeal membrane oxygenation for high-risk rigid bronchoscopy

Authors :
Manuel Otero-Lopez
Ana-Maria Santos Portela
Florent Vinas
Yacine Tandjaoui-Lambiotte
Olivia Freynet
Stephane Dominique
Guillaume Lebreton
Salam Abou Taam
Yurdagul Uzunhan
Emmanuel Martinod
Elie Zogheib
Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)
Centre Hospitalier Privé Claude Galien - Ramsay Santé
Centre Hospitalier Intercommunal de Créteil (CHIC)
CHU Rouen
Normandie Université (NU)
Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Institute of cardiometabolism and nutrition (ICAN)
Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP]
Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU)
Service de Chirurgie cardiaque et thoracique [CHU Pitié-Salpêtrière]
CHU Pitié-Salpêtrière [AP-HP]
Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
Source :
Thorax, Thorax, BMJ Publishing Group, 2020, 75 (11), pp.994-997. ⟨10.1136/thoraxjnl-2020-214740⟩
Publication Year :
2020

Abstract

International audience; The use of extracorporeal membrane oxygenation for high-risk rigid bronchoscopy has been reported in few urgent cases. We report our experience with this approach which was planned electively in five cases on 202 procedures (2.5%). It was proposed because of the potential inability to ventilate the lungs using conventional techniques due to extensive tracheobronchial lesions or the risk of major intraoperative bleeding related to disease characteristics. There were no intraoperative complications and postoperative course was favourable in all patients. With a maximum follow-up of 3 years and 7 months, all patients are alive with no tracheostomy despite major morbidities.

Details

ISSN :
14683296 and 00406376
Volume :
75
Issue :
11
Database :
OpenAIRE
Journal :
Thorax
Accession number :
edsair.doi.dedup.....be4d37dba264f5a4213f2fa77376a709