Extracorporeal membrane oxygenation (ECMO) assisted mediastinal tumor resection and superior vena cava replacement are safe and feasible

Autor: Tao Jing, Yi Liao, Bo He, Jinghua Tang, Mei Xia, Wei Wu, Hongxiang Liu, Deli Tan, Tao Wu, Lingfeng Tang, Haidong Wang, Meng Tang, Qiao Chen, Ni Zhou, Yang Qiu, Shixin Zhang, Aihong Huang, Ming Zhang
Rok vydání: 2019
Předmět:
0301 basic medicine
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Vena Cava
Superior
medicine.medical_treatment
Ischemia
Femoral vein
Mediastinal tumor
superior vena cava replacement
Technological Note
lcsh:RC254-282
Mediastinal Neoplasms
03 medical and health sciences
Extracorporeal Membrane Oxygenation
0302 clinical medicine
Superior vena cava
medicine
Extracorporeal membrane oxygenation
Humans
cardiovascular diseases
Internal jugular vein
mediastinal tumor resection
Aged
business.industry
General Medicine
Femoral Vein
Thoracic Surgical Procedures
Hypoxia (medical)
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Prognosis
medicine.disease
Surgery
Shunting
030104 developmental biology
Oncology
030220 oncology & carcinogenesis
cardiovascular system
Feasibility Studies
Female
ECMO
Jugular Veins
medicine.symptom
business
Zdroj: Thoracic Cancer
Thoracic Cancer, Vol 10, Iss 9, Pp 1846-1851 (2019)
ISSN: 1759-7714
1759-7706
DOI: 10.1111/1759-7714.13140
Popis: Background How to maximally improve the drainage of intracranial and upper body venous and to reduce neurological complications during thoracic tumor‐causedsuperior vena cava replacement are still clinical problems to be solved. Methods We have innovatively used the bilateral jugular vein‐left femoral vein ECMO shunting to perform mediastinal tumor resection and superior vena cava replacement in a 50‐year‐old woman. Results During the operation, this technique maintained the patient's hemodynamic stability, improved the cerebral oxygen saturation and reduced the cerebral ischemia, hypoxia as well as the neurological complications. Conclusion It is indicated for patients with superior vena cava replacement who are unable to perform venous bypass (such as innominate vein to right atrial bypass) or venous shunting (such as differential pressure drainage from internal jugular vein to femoral vein).
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje