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Table 2 Extracorporeal device (ECMO veno-arterial and/or veno-venous) and pulmonary resection for pulmonary cancer

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)

  1. NA not available