From: Extracorporeal support for pulmonary resection: current indications and results
Series | Number | Primary tumor | Pulmonary procedure | Type of ECMO and duration | Morbidity (ECMO) | Outcome |
---|---|---|---|---|---|---|
Lang 2011 [14] | 9 | NSCLC (n = 7) Carcinoid (n = 1) Sarcoma (n = 1) | Complex tracheo-bronchial resection (n = 6) associated with pneumonectomy (n = 4) or bilobectomy (n = 1) Resection descending aorta (n = 2) Resection inferior vena cava (n = 1) | Central (n = 4) Peripheral (n = 4) Combined (n = 1) Mean time 110 min (range 40 to 135) | - Lymphatic fistula to groin - No bleeding - No vascular thrombosis | Complete resection 8/9 (89 %) Mortality 1/9 (hepatic necrosis after IVC resection) |
Lang 2014 [13] | 10 | NSCLC (n = 7) Carcinoid (n = 2) Adenoid cystic (n = 1) | Carina (n = 6) Sleeve lobectomy (n = 3) Pneumonectomy (n = 1) | Central (n = 7) Peripheral (n = 3) Mean time 113 min (range 70–135) | - No bleeding - No vascular thrombosis | Complete resection 8/10 (80 %) 5-year survival 56 % |
Rinieri 2014 [18] | 36 | NA | Tracheo-carinal resection (n = 21) Left main bronchus resection (n = 2) Single-lung surgeries (n = 5) Pulmonary resection (n = 5) Thoracic trauma (n = 2) | Veno-venous (n = 20) Mean time 78 min VA peripheral (n = 10) VA central (n = 6) Mean time 65 min | Bleeding with re-operation (n = 6) Bleeding cannulation site (n = 1) Inguinal infection (n = 1) No thrombosis or ischemia limb | 30-day mortality 17 % (n = 6) |
Redwan 2015 [49] | 9 | NSCLC (n = 6) Pulmonary metastases (n = 2) COPD (n = 1) | Segmentectomy (n = 3) lobectomy with bronchial and vascular anastomoses (n = 1) VATS lobectomy (n = 2) Left-sided carinal pneumonectomy (n = 1) Metastasectomy (n = 2) | Veno-venous (n = 9) Mean time 19 min (range: 71–184) | Pneumonia (n = 5) Tracheostomy (n = 1) Acute cardiac failure (n = 1) | 30-day mortality 11 % (n = 1) |