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- Title
169EXTRACORPOREAL MEMBRANE OXYGENATOR SUPPORT FOR COMPLEX TRACHEOBRONCHIAL PROCEDURES.
- Authors
Lang, G.; Ghanim, B.; Klikovits, T.; Hötzenecker, K.; Matilla, J.S.; Aigner, C.; Taghavi, S.; Klepetko, W.
- Abstract
Objectives: The international experience with advanced bronchoplastic procedures performed with extracorporeal membrane oxygenator (ECMO) support is very limited. We examined our results to assess the risks and benefits of this approach.Methods: We retrospectively analysed all patients with thoracic malignancies who underwent complex tracheo-bronchial reconstruction under ECMO support in our department between 2001 and 2013.Results: Ten patients (mean age 54 ± 11 [range 21-81] years) underwent complex tracheo-bronchial resections under veno-arterial ECMO support. In seven patients, the underlying pathology was non-small-cell lung cancer, in two cases carcinoid tumour, and in one case adenoid-cystic carcinoma. ECMO cannulation was central (n = 7) or peripheral (n = 3). Mean time on bypass was 113 ± 17 (range 70-135) min. A complete resection (R0) was achieved in eight patients (80%). There was no perioperative mortality. Patients were discharged from the hospital after 7-52 days (median 11 days). Median time in the Intensive Care Unit was 1 (range 1-36) day. There was no complication related to the use of ECMO in this series. Mean follow up time was 1694 ± 1385 (range 12-4338) days. The 1-, 3- and 5-year Kaplan-Meier survival was 100%, 74% and 56%, respectively.Conclusions: Based on this experience, we consider veno-arterial ECMO support to be a safe and valuable approach for complex airway surgery.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2013, Vol 17, Issue suppl_2, pS110
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivt372.169