%0 Journal Article %T Respiratory support with venovenous extracorporeal membrane oxygenation during stent placement for the palliation of critical airway obstruction: case series analysis %A Park, Jung-Hoon %A Shin, Ji Hoon %A Kim, Kun Yung %A Lim, Ju Yong %A Kim, Pyeong Hwa %A Tsauo, Jiaywei %A Kim, Min Tae %A Song, Ho-Young %J Journal of Thoracic Disease %D 2017 %B 2017 %9 %! Respiratory support with venovenous extracorporeal membrane oxygenation during stent placement for the palliation of critical airway obstruction: case series analysis %K %X Background: Venovenous extracorporeal membrane oxygenation (VV ECMO) is used to support gas transfer of patients suffering from respiratory failure during various procedures. The purpose of this study was to evaluate the technical feasibility and safety of fluoroscopic stent placement under respiratory support with VV ECMO in patients with critical airway obstructions. Methods: We reviewed the records of 17 patients (14 male and 3 female; mean age: 63 years; range, 30–82 years) who underwent self-expandable metallic stent (SEMS) placement under VV ECMO respiratory support for critical airway obstruction caused by malignant (n=16) or benign (n=1) etiology. Results: Fluoroscopic placement of SEMS was successful in all patients (100%) with no procedure-related complications. During a mean follow-up of 83 days (range, 10–367 days), 15 (88.2%) of 17 patients showed improvement of Hugh-Jones grades (from 4.7±0.4 to 3.1±0.9, P Conclusions: Fluoroscopic stent placement under VV ECMO respiratory support can be successfully performed in patients with critical airway obstruction, especially in cases of respiratory distress despite ventilation support and an inability to lie in a supine position. However, further studies will be needed to validate the standardized methods and specific indications. %U https://jtd.amegroups.org/article/view/14623 %V 9 %N 8 %P 2599-2607 %@ 2077-6624