title: A novel interventional therapy using the combination of bilateral bronchial stent dilatation and percutaneous cardiopulmonary support for critical airway obstruction due to metastatic carcinomatous carina.
abstract: For an inoperative critical airway obstruction (bilateral bronchial stenoses) from a carcinomatous carina due to the mediastinal lymphnodal metastasis from uterine cancer, we succeeded in improving the patient's severe dyspnea by the combination of bilateral bronchial stent dilatation and a percutaneous cardiopulmonary support (PCPS) system. The imminent airway stenosis with severe dyspnea may have a high risk of asphyxia and contact-flooding during implanting of the stent. By the novel use of PCPS in advance for blood-oxygenation as a respiratory support, we could safely perform the interventional therapy of bronchial expandable metallic stents, and the patient obtained a good quality of life without dyspnea until she died of systemic metastatic cachexia. This technique may possibly be approved as an option for temporary remission therapy of a critical airway obstruction.
authors.affiliation: Department of Surgery II, Miyazaki Medical College, 5200 Kihara, Kiyotake, Miyazaki 889-1692.
authors.forename: T
authors.initials: T
authors.lastname: Ayabe
authors.forename: Y
authors.initials: Y
authors.lastname: Matsuzaki
authors.forename: M
authors.initials: M
authors.lastname: Edagawa
authors.forename: M
authors.initials: M
authors.lastname: Asado
authors.forename: T
authors.initials: T
authors.lastname: Onitsuka
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods; D001999:Bronchoscopy; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000556:secondary*; D002404:Catheterization / Q000295:instrumentation; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000556:secondary; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D012720:Severity of Illness Index; D015607:Stents; D014594:Uterine Neoplasms / Q000473:pathology / Q000532:radiotherapy