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Review
. 2016 Feb 2:14:25.
doi: 10.1186/s12957-016-0781-0.

Extracorporeal support for pulmonary resection: current indications and results

Petra Rosskopfova  1 , Jean Yannis Perentes  1 , Hans-Beat Ris  1 , Fabrizio Gronchi  2 , Thorsten Krueger  1 , Michel Gonzalez  3
Affiliations
Review

Extracorporeal support for pulmonary resection: current indications and results

Petra Rosskopfova et al. World J Surg Oncol. .

Abstract

Extracorporeal assistances are exponentially used for patients, with acute severe but reversible heart or lung failure, to provide more prolonged support to bridge patients to heart and/or lung transplantation. However, experience of use of extracorporeal assistance for pulmonary resection is limited outside lung transplantation. Airways management with standard mechanical ventilation system may be challenging particularly in case of anatomical reasons (single lung), presence of respiratory failure (ARDS), or complex tracheo-bronchial resection and reconstruction. Based on the growing experience during lung transplantation, more and more surgeons are now using such devices to achieve good oxygenation and hemodynamic support during such challenging cases. We review the different extracorporeal device and attempt to clarify the current practice and indications of extracorporeal support during pulmonary resection.

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Figures

Fig. 1
Fig. 1
algorithm for insertion of ECMO in case of elective or emergent thoracic surgery (adapted from Rinieri et al. [18]
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