Emergency laser treatment of a tracheobronchial carcinoid during ECMO
Main Article Content
Abstract
Early diagnosis of endobronchial carcinoids is challenging, as they often mimic other common acute respiratory conditions at first presentation. Increasing consensus favours surgical resection over endoscopic management of bronchial carcinoids whenever possible.
ECMO has been reported to be an effective supportive strategy in many cases of elective and urgent surgical or endoscopic airway procedures. However, it has never been described as a supportive technique for the emergency endoscopic management of an endobronchial carcinoid.
Herein we report the case of a 17 year-old girl presenting with spontaneous pneumomediastinum and an almost complete endotracheal obstruction at the level of the main carina, due to a typical carcinoid that was treated successfully by endoscopic laser disruption under veno-venous extracorporeal circulation in an emergency scenario.
Article Details
How to Cite
BIOLO, Marco et al.
Emergency laser treatment of a tracheobronchial carcinoid during ECMO.
Medical Research Archives, [S.l.], v. 8, n. 8, aug. 2020.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/2212>. Date accessed: 27 dec. 2024.
doi: https://doi.org/10.18103/mra.v8i8.2212.
Section
Case Reports
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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9. Cavkaytar Ö, Büyükçam A, Tekşam Ö, et al. Flow-volume curve in the diagnosis and follow-up of intrathoracic airway obstruction. Turk J Pediatr. 2017;59(5):594-597. doi:10.24953/turkjped.2017.05.015
10. Hoetzenecker K, Klepetko W, Keshavjee S, Cypel M. Extracorporeal support in airway surgery. J Thorac Dis. 2017;9(7):2108-2117. doi:10.21037/jtd.2017.06.17
11. Dunkman WJ, Nicoara A, Schroder J, et al. Elective venovenous extracorporeal membrane oxygenation for resection of endotracheal tumor: A case report. In: 100 Selected Case Reports from Anesthesia and Analgesia. Vol 9. Wolters Kluwer Health; 2018. doi:10.1213/XAA.0000000000000537
12. Jeong Y Il, Jun IG, Ha SS, Kwon HJ, Lee YM. Extracorporeal membrane oxygenation for the anesthetic management of a patient with a massive intrathoracic goiter causing severe tracheal obstruction with positional symptoms: A case report. Medicine (Baltimore). 2019;98(42):e17650. doi:10.1097/MD.0000000000017650
13. Ampollini L, Carbognani P, Rusca M, Bobbio A. Resection of giant typical carcinoid tumor with cardiopulmonary bypass support. Thorac Cardiovasc Surg. 2010;58(8):500-502. doi:10.1055/s-0030-1250100
14. Gao H, Zhu B, Yi J, Ye TH, Huang YG. Urgent tracheal resection and reconstruction assisted by temporary cardiopulmonary bypass: A case report. Chinese Med Sci J. 2013;28(1):55-57. doi:10.1016/S1001-9294(13)60020-6
15. Natt B, Knepler J, Kazui T, Mosier JM. The Use of Extracorporeal Membrane Oxygenation in the Bronchoscopic Management of Critical Upper Airway Obstruction. J Bronchol Interv Pulmonol. 2017;24(1):e12-e14. doi:10.1097/LBR.0000000000000347
16. Vaporciyan AA, Rice D, Correa AM, et al. Resection of advanced thoracic malignancies requiring cardiopulmonary bypass. In: European Journal of Cardio-Thoracic Surgery. Vol 22. Eur J Cardiothorac Surg; 2002:47-52. doi:10.1016/S1010-7940(02)00204-X
17. Hong Y, Jo KW, Lyu J, et al. Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security. J Crit Care. 2013;28(5):669-674. doi:10.1016/j.jcrc.2013.05.020
18. Kim JJ, Moon SW, Kim YH, Choi SY, Jeong SC. Flexible bronchoscopic excision of a tracheal mass under extracorporeal membrane oxygenation. J Thorac Dis. 2015;7(3):E54-E57. doi:10.3978/j.issn.2072-1439.2015.01.26
19. Willms DC, Mendez R, Norman V, Chammas JH. Emergency bedside extracorporeal membrane oxygenation for rescue of acute tracheal obstruction. Respir Care. 2012;57(4):646-649. doi:10.4187/respcare.01417
20. Brown KL, Shefler A, Cohen G, DeMunter C, Pigott N, Goldman AP. Near-fatal grape aspiration with complicating acute lung injury successfully treated with extracorporeal membrane oxygenation. Pediatr Crit Care Med. 2003;4(2):243-245. doi:10.1097/01.PCC.0000059332.48377.7A
2. Travis WD, Brambilla E, Nicholson AG, et al. The 2015 World Health Organization Classification of Lung Tumors: Impact of Genetic, Clinical and Radiologic Advances since the 2004 Classification. J Thorac Oncol. 2015;10(9):1243-1260. doi:10.1097/JTO.0000000000000630
3. Filosso PL, Guerrera F, Falco NR, et al. Anatomical resections are superior to wedge resections for overall survival in patients with Stage 1 typical carcinoids †. Eur J Cardio-Thoracic Surg. 2019;55:273-279. doi:10.1093/ejcts/ezy250
4. Oliveira AM, Tazelaar HD, Wentzlaff KA, et al. Familial pulmonary carcinoid tumors. Cancer. 2001;91(11):2104-2109. doi:10.1002/1097-0142(20010601)91:11<2104::AID-CNCR1238>3.0.CO;2-I
5. Sachithanandan N, Harle RA, Burgess JR. Bronchopulmonary carcinoid in multiple endocrine neoplasia type 1. Cancer. 2005;103(3):509-515. doi:10.1002/cncr.20825
6. Morandi U, Casali C, Rossi G. Bronchial Typical Carcinoid Tumors. Semin Thorac Cardiovasc Surg. 2006;18(3):191-198. doi:10.1053/j.semtcvs.2006.08.005
7. Zahid M, Shafiq I, Albon L, Kause J. Typical bronchial carcinoid tumour presenting as pneumomediastinum. BMJ Case Rep. 2011;2011. doi:10.1136/bcr.01.2011.3744
8. Biçer EN, Öztürk AB, Ozyigit LP, et al. A case of uncontrolled severe asthma patient with coexisting carcinoid tumor presenting as pneumomediastinum. J Asthma. 2015;52(10):1095-1098. doi:10.3109/02770903.2015.1054402
9. Cavkaytar Ö, Büyükçam A, Tekşam Ö, et al. Flow-volume curve in the diagnosis and follow-up of intrathoracic airway obstruction. Turk J Pediatr. 2017;59(5):594-597. doi:10.24953/turkjped.2017.05.015
10. Hoetzenecker K, Klepetko W, Keshavjee S, Cypel M. Extracorporeal support in airway surgery. J Thorac Dis. 2017;9(7):2108-2117. doi:10.21037/jtd.2017.06.17
11. Dunkman WJ, Nicoara A, Schroder J, et al. Elective venovenous extracorporeal membrane oxygenation for resection of endotracheal tumor: A case report. In: 100 Selected Case Reports from Anesthesia and Analgesia. Vol 9. Wolters Kluwer Health; 2018. doi:10.1213/XAA.0000000000000537
12. Jeong Y Il, Jun IG, Ha SS, Kwon HJ, Lee YM. Extracorporeal membrane oxygenation for the anesthetic management of a patient with a massive intrathoracic goiter causing severe tracheal obstruction with positional symptoms: A case report. Medicine (Baltimore). 2019;98(42):e17650. doi:10.1097/MD.0000000000017650
13. Ampollini L, Carbognani P, Rusca M, Bobbio A. Resection of giant typical carcinoid tumor with cardiopulmonary bypass support. Thorac Cardiovasc Surg. 2010;58(8):500-502. doi:10.1055/s-0030-1250100
14. Gao H, Zhu B, Yi J, Ye TH, Huang YG. Urgent tracheal resection and reconstruction assisted by temporary cardiopulmonary bypass: A case report. Chinese Med Sci J. 2013;28(1):55-57. doi:10.1016/S1001-9294(13)60020-6
15. Natt B, Knepler J, Kazui T, Mosier JM. The Use of Extracorporeal Membrane Oxygenation in the Bronchoscopic Management of Critical Upper Airway Obstruction. J Bronchol Interv Pulmonol. 2017;24(1):e12-e14. doi:10.1097/LBR.0000000000000347
16. Vaporciyan AA, Rice D, Correa AM, et al. Resection of advanced thoracic malignancies requiring cardiopulmonary bypass. In: European Journal of Cardio-Thoracic Surgery. Vol 22. Eur J Cardiothorac Surg; 2002:47-52. doi:10.1016/S1010-7940(02)00204-X
17. Hong Y, Jo KW, Lyu J, et al. Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security. J Crit Care. 2013;28(5):669-674. doi:10.1016/j.jcrc.2013.05.020
18. Kim JJ, Moon SW, Kim YH, Choi SY, Jeong SC. Flexible bronchoscopic excision of a tracheal mass under extracorporeal membrane oxygenation. J Thorac Dis. 2015;7(3):E54-E57. doi:10.3978/j.issn.2072-1439.2015.01.26
19. Willms DC, Mendez R, Norman V, Chammas JH. Emergency bedside extracorporeal membrane oxygenation for rescue of acute tracheal obstruction. Respir Care. 2012;57(4):646-649. doi:10.4187/respcare.01417
20. Brown KL, Shefler A, Cohen G, DeMunter C, Pigott N, Goldman AP. Near-fatal grape aspiration with complicating acute lung injury successfully treated with extracorporeal membrane oxygenation. Pediatr Crit Care Med. 2003;4(2):243-245. doi:10.1097/01.PCC.0000059332.48377.7A