Journal of Artificial Organs

, Volume 21, Issue 4, pp 479–481 | Cite as

Venovenous extracorporeal membrane oxygenation for the management of critical airway stenosis

  • Yu Yamada
  • Toshihiro OhataEmail author
  • Mutsunori Kitahara
  • Hisakazu Kohata
  • Junji Kumasawa
  • Michihiko Kohno
Case Report Artificial Lung / ECMO


Venovenous extracorporeal membrane oxygenation (VV-ECMO) is used not only support gas transfer of patients suffering from respiratory failure, but also to manage hypoxic patients with critical airway obstruction during various procedures. We present a case in which we electively used VV-ECMO to facilitate tube placement and tracheal biopsy in a 67-year-old female with critical tracheal stenosis. The patient was transferred to our hospital for a surgical treatment after emergent tracheostomy for postoperative management of cerebral hemorrhage in right putamen. Her trachea was severely stenotic and just enough for a 5.5 mm tracheostomy tube. Removal of tracheostomy tube, tracheal wall biopsy and intra-tracheal tube placement were successfully performed under VV-ECMO support, drainage from inferior vena cava returned into the right ventricle (RV). RV perfusion was a very useful and effective method in VV-ECMO system, although some careful wire management was needed under fluoroscopic guidance.


VV-ECMO Critical airway stenosis 


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Copyright information

© The Japanese Society for Artificial Organs 2018

Authors and Affiliations

  • Yu Yamada
    • 1
  • Toshihiro Ohata
    • 1
    Email author
  • Mutsunori Kitahara
    • 1
  • Hisakazu Kohata
    • 2
  • Junji Kumasawa
    • 2
  • Michihiko Kohno
    • 2
  1. 1.Department of Cardiovascular SurgerySakai City Medical CenterSakaiJapan
  2. 2.Department of Critical Care MedicineSakai City Medical CenterSakaiJapan

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