Restricted accessCase reportFirst published online 2019-03
Successful Use of Pulmonary Cryotherapy for Tracheobronchial Thrombus Extraction and Recanalization of the Tracheobronchial Tree During a Pediatric Venovenous Extracorporeal Membrane Oxygenation Run
Impacted pediatric tracheobronchial thrombus is an uncommon diagnosis. There are no clearly proven therapeutic options for airway casts due to a similar process, plastic bronchitis. Cryotherapy, specifically cryoextraction, has shown potential as a therapeutic option in adults with tracheobronchial thrombus and cast. We describe the novel application of this method in a complex pediatric patient.
BroganTV, FinnLS, PyskatyDJJr., et al.Plastic bronchitis in children: a case series and review of the medical literature. Pediatr Pulmonol, 2002; 34:482–487.
3.
SriratanaviriyakulN, LamF, MorrisseyBM, et al.Safety and clinical utility of flexible bronchoscopic cryoextraction in patients with non-neoplasm tracheobronchial obstruction: a retrospective chart review. J Bronchology Interv Pulmonol, 2015; 22:288–293.
4.
WeerdtSD, NoppenM, RemelsL, et al.Successful removal of a massive endobronchial blood clot by means of cryotherapy. J Bronchology Interv Pulmonol, 2005; 12:23–24.
5.
BhardwajB, BhardwajH, YounessHA, et al.Bronchoscopic cryoextraction: a novel approach for the removal of massive endobronchial blood clots causing acute airway obstruction. Southwest J Pulm Crit Care, 2013; 7:184–189.
6.
WenPH, ChanWH, ChenYC, et al.Non-heparinized ECMO serves a rescue method in a multitrauma patient combining pulmonary contusion and nonoperative internal bleeding: a case report and literature review. World J Emerg Surg, 2015; 10:15.
7.
ArltM, PhilippA, VoelkelS, et al.Extracorporeal membrane oxygenation in severe trauma patients with bleeding shock. Resuscitation, 2010; 81:804–809.
8.
NiC, YuH, HanX, et al.Clinical analysis of bronchoscopic cryotherapy in 156 pediatric patients. Pediatr Int, 2017; 59:62–67.
