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Veno-Venous Extracorporeal Membrane Oxygenation Support for Severe Primary Graft Dysfunction Is Associated With Reduced Airway Complications After Lung Transplantation.
Clin Transplant
November 2024
Section of Thoracic Surgery, Department of Surgery, University of Chicago Biological Sciences Division, Chicago, Illinois, USA.
Article Synopsis
- - The study investigates the effects of extracorporeal membrane oxygenation (ECMO) on airway complications in patients with severe primary graft dysfunction (PGD3) following lung transplantation, highlighting the potential benefits of early ECMO use.
- - Results showed that patients on veno-venous ECMO (VV-ECMO) had lower instances of PGD3 and reduced risk of chronic allograft dysfunction compared to those solely on mechanical ventilation (MV).
- - The findings suggest VV-ECMO may help prevent ischemic reperfusion injury and lower the severity of airway complications post-transplantation, indicating a need for further research to understand the underlying mechanisms.
Contribution of intrapulmonary shunt to the pathogenesis of profound hypoxaemia in viral infection: a mechanistic discussion with an illustrative case.
J Intensive Care Soc
November 2024
Whittington Hospital Intensive Care Unit, Department of Intensive Care, London, UK.
Article Synopsis
- Anastomoses between pulmonary arteries and veins, which are common in adults, can lead to blood bypassing alveoli, causing hypoxaemia, especially in conditions like COVID-19 and influenza A.
- A case of severe hypoxaemia linked to influenza A was poorly responsive to oxygen treatment and worsened with CPAP, indicating a significant intrapulmonary shunt contributing to the issue.
- Understanding these shunts in viral infections can improve respiratory treatment strategies and help identify new therapeutic approaches to prevent the need for intubation.
Robot-assisted right wedge-shaped sleeve lower bilobectomy with knotless suture anastomosis: a case report.
Gen Thorac Cardiovasc Surg Cases
November 2023
Department of Thoracic Surgery, Okazaki City Hospital, City, Okazaki, Aichi, 444-8553, Japan.
Background: In bronchoplasty of wedge resections, it is necessary to transect the bronchus at a sharp angle and depth. As a result, anastomoses after wedge resections have the disadvantages of poor visibility and operability. Here, we report a case of right wedge-shaped sleeve bilobectomy that was successfully performed with continuous knotless suturing using robotic assistance.
View Article and Find Full Text PDFA prospective study of a training program for bronchial sleeve resection using operable 3-dimensional models.
JTCVS Tech
October 2024
Department of Thoracic Surgical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Objective: To develop a training program for bronchial sleeve reconstruction using our previously developed 3-dimensional (3D) operable airway model and evaluate its effectiveness in surgical trainees.
Methods: Eight trainees and 4 faculty surgeons were enrolled. Their right upper lobe sleeve reconstruction procedures were scored by 2 senior surgeons in a blinded fashion on a 5-point Likert scale on the following: airway wall tear, reapplied ligatures, reapplied needles, needle entry and exit, anastomotic bite, and caliber adjustment (full score: 30).
Case Report: Ectopic pulmonary embolism as a complication of bronchial artery embolization.
Front Cardiovasc Med
September 2024
Department of Pulmonary and Critical Care Medicine, Affiliated Hospital of Jianghan University, Wuhan, China.
Bronchial artery embolization (BAE) is currently the first-line treatment for massive hemoptysis. Previous studies have proven its safety and efficacy, with mild, transient, and reversible complications. This case described a patient with congenital multiple bronchopulmonary fistulas who underwent BAE due to massive hemoptysis.
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