title: Combination of bronchoscopic cryoextraction and argon plasma coagulation in treatment of total central airway obstruction caused by giant blood clot formation in massive airway bleeding.
abstract: Life threatening event due to central airway obstruction caused by very large blood clot formation with profuse on going bleeding its very challenging to manage. Interventional pulmonologist must aware about this situation which can lead to respiratory failure. There are several choices to treat this unlikely situation, in example flexible bronchoscopy with forceps, bronchial lavage, and suction. We present a case with post-surgical tracheostomy bleeding which caused a giant blood clot formation in a disseminated intravascular coagulation due to severe sepsis in end stage renal disease patient, successfully managed with cryoextraction and argon plasma coagulation. Combinations of two endobronchial approaches can give a quick, safe and cost effective lifesaving treatment.
authors.affiliation: Division of Respirology and Critical Care, Department of Internal Medicine, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Eric Daniel
authors.initials: ED
authors.lastname: Tenda
authors.affiliation: Division of Respirology and Critical Care, Department of Internal Medicine, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Abraham
authors.initials: A
authors.lastname: Yakub
authors.affiliation: Division of Respirology and Critical Care, Department of Internal Medicine, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Ceva Wicaksono
authors.initials: CW
authors.lastname: Pitoyo
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Fauziah
authors.initials: F
authors.lastname: Fardizza
keywords: Argon plasma coagulation; Blood clot; Central airway obstruction; Cryoextraction