Extrakorporale Membranoxygenierung in der Thoraxchirurgie: Etablierung funktioneller und technischer Operabilität

Zusammenfassung

Funktionelle und technische Operabilität müssen vor thoraxchirurgischen Eingriffen evaluiert und definiert werden. Nicht selten gelten Patienten aufgrund funktioneller Einschränkung und/oder aufgrund einer ungünstigen Lokalisation des Tumors als inoperabel. Die extrakorporale Lungenunterstützung stellt in der Thoraxchirurgie ein wichtiges Verfahren zur Etablierung funktioneller und technischer Operabilität dar. Sie ermöglicht eine perioperative Sicherheit und minimiert das Risiko während anspruchsvoller Resektionen.

Abstract

Functional and technical operability has to be evaluated and defined prior to thoracic surgical procedures. Sometimes patients assigned to thoracic surgery procedures have to be declared inoperable due to functional und technical limitations. Extracorporeal lung support is an important tool to establish functional and technical operability in patients undergoing thoracic surgical procedures. This ensures perioperative safety and minimises the risk during extended lung resection.

Schlüsselwörter

ECMO - funktionelle Operabilität - technische Operabilität - Thoraxchirurgie

Key words

ECLS - functional operability - technical operability - thoracic surgery

• Literatur

• 1 McRae K, de Perrot M. Principles and indications of extracorporeal life support in general thoracic surgery. J Thorac Dis 2018; 10: 931-946
• 2 Wiebe K, Baraki H, Macchiarini P. et al. Extended pulmonary resections of advanced thoracic malignancies with support of cardiopulmonary bypass. Eur J Cardiothorac Surg 2006; 29: 571-578
• 3 Esper SA, Levy JH, Waters JH. et al. Extracorporeal membrane oxygenation in the adult: a review of anticoagulation monitoring and transfusion. Anesth Analg 2014; 118: 731-743
• 4 Horita K, Itoh T, Furukawa K. et al. Carinal reconstruction under veno-venous bypass using a percutaneous cardiopulmonary bypass system. Thorac Cardiovasc Surg 1996; 44: 46-49
• 5 Abrams D, Combes A, Brodie D. Extracorporeal membrane oxygenation in cardiopulmonary disease in adults. J Am Coll Cardiol 2014; 63: 2769-2778
• 6 Agerstrand CL, Bacchetta MD, Brodie D. ECMO for adult respiratory failure: current use and evolving applications. ASAIO J 2014; 60: 255-262
• 7 Bein T, Weber F, Philipp A. et al. A new pumpless extracorporeal interventional lung assist in critical hypoxemia/hypercapnia. Crit Care Med 2006; 34: 1372-1377
• 8 Khoshbin E, Roberts N, Harvey C. et al. Poly-methyl pentene oxygenators have improved gas exchange capability and reduced transfusion requirements in adult extracorporeal oxygenation. ASAIO J 2005; 51: 281-287
• 9 Banfi C, Pozzi M, Siegenthaler N. et al. Veno-venous extracorporeal membrane oxygenation: cannulation techniques. J Thorac Dis 2016; 8: 3762-3773
• 10 Gattinoni L, Carlesso E, Langer T. Clinical review: extracorporeal membrane oxygenation. Crit Care 2011; 15: 243
• 11 Napp LC, Kuhn C, Hoeper MM. et al. Cannulation strategies for percutaneous extracorporeal membrane oxygenation in adults. Clin Res Cardiol 2016; 105: 283-296
• 12 Del Sorbo L, Goffi A, Goligher E. et al. Setting mechanical ventilation in ARDS patients during VV-ECMO: where are we?. Minerva Anestesiol 2015; 81: 1369-1376
• 13 Redwan B, Semik M, Dickgreber N. et al. Single site cannulation veno-venous extracorporeal lung support during pulmonary resection in patients with severely compromised pulmonary function. ASAIO J 2015; 61: 366-369
• 14 Douflé G, Ferguson ND. Monitoring during extracorporeal membrane oxygenation. Curr Opin Crit Care 2016; 22: 230-238
• 15 Sidebotham D, McGeorge A, McGuinness S. et al. Extracorporeal membrane oxygenation for treating severe cardiac and respiratory failure in adults: Part 2 – technical considerations. J Cardiothorac Vasc Anesth 2010; 24: 164-172
• 16 Burki NK, Mani RK, Herth FJ. et al. A novel extracorporeal CO₂ removal system: results of a pilot study of hypercapnic respiratory failure in patients with COPD. Chest 2013; 143: 678-686
• 17 Camboni D, Philipp A, Lubnow M. et al. Extracorporeal membrane oxygenation by single-vessel access in adults: advantages and limitations. ASAIO J 2012; 58: 616-621
• 18 Rupprecht L, Lunz D, Philipp A. et al. Pitfalls in percutaneous ECMO cannulation. Heart Lung Vessel 2015; 7: 320-326
• 19 Esper SA, Levy JH, Waters JH. et al. Extracorporeal membrane oxygenation in the adult: a review of anticoagulation monitoring and transfusion. Anesth Analg 2014; 118: 731-743
• 20 Machuca TN, Collaud S, Mercier O. et al. Outcomes of intraoperative extracorporeal membrane oxygenation versus cardiopulmonary bypass for lung transplantation. J Thorac Cardiovasc Surg 2015; 149: 1152-1157
• 21 Zangrillo A, Landoni G, Biondi-Zoccai G. et al. A meta-analysis of complications and mortality of extracorporeal membrane oxygenation. Crit Care Resusc 2013; 15: 172-178
• 22 Wiebe K, Poeling J, Arlt M. et al. Thoracic surgical procedures supported by a pumpless interventional lung assist. Ann Thorac Surg 2010; 89: 1782-1788
• 23 Murphy DA, Hockings LE, Andrews RK. et al. Extracorporeal membrane oxygenation – hemostatic complications. Transfus Med Rev 2014; 29: 90-101
• 24 Millar JE, Fanning JP, McDonald CI. et al. The inflammatory response to extracorporeal membrane oxygenation (ECMO): a review of the pathophysiology. Crit Care 2016; 20: 387
• 25 Allen S, Holena D, McCunn M. et al. A review of the fundamental principles and evidence base in the use of extracorporeal membrane oxygenation (ECMO) in critically ill adult patients. J Intensive Care Med 2011; 26: 13-26
• 26 Cheng R, Hachamovitch R, Kittleson M. et al. Complications of extracorporeal membrane oxygenation for treatment of cardiogenic shock and cardiac arrest: a meta-analysis of 1866 adult patients. Ann Thorac Surg 2014; 97: 610-616
• 27 Paden ML, Conrad SA, Rycus PT. et al. Extracorporeal Life Support Organization Registry Report 2012. ASAIO J 2013; 59: 202-210
• 28 Rosskopfova P, Perentes JY, Ris HB. et al. Extracorporeal support for pulmonary resection: current indications and results. World J Surg Oncol 2016; 14: 25
• 29 Brodie D, Bacchetta M. Extracorporeal membrane oxygenation for ARDS in adults. N Engl J Med 2011; 365: 1905-1914
• 30 Lang G, Ghanim B, Hotzenecker K. et al. Extracorporeal membrane oxygenation support for complex tracheo-bronchial procedures. Eur J Cardiothorac Surg 2015; 47: 250-256
• 31 Rinieri P, Peillon C, Bessou JP. et al. National review of use of extracorporeal membrane oxygenation as respiratory support in thoracic surgery excluding lung transplantation. Eur J Cardiothorac Surg 2015; 47: 87-94
• 32 Hoetzenecker K, Klepetko W, Keshavjee S. et al. Extracorporeal support in airway surgery. J Thorac Dis 2017; 9: 2108-2117
• 33 Regnard JF, Perrotin C, Giovannetti R. et al. Resection for tumors with carinal involvement: technical aspects, results, and prognostic factors. Ann Thorac Surg 2005; 80: 1841-1846
• 34 Hong Y, Jo KW, Lyu J. et al. Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security. J Crit Care 2013; 28: 669-674
• 35 Ko M, dos Santos PR, Machuca TN. et al. Use of single-cannula venous-venous extracorporeal life support in the management of life-threatening airway obstruction. Ann Thorac Surg 2015; 99: e63-e65
• 36 Redwan B, Ziegeler S, Freermann S. et al. Intraoperative veno-venous extracorporeal lung support in thoracic surgery: a single-centre experience. Interact Cardiovasc Thorac Surg 2015; 21: 766-772
• 37 Kim CW, Kim DH, Son BS. et al. The feasibility of extracorporeal membrane oxygenation in the variant airway problems. Ann Thorac Cardiovasc Surg 2015; 21: 517-522
• 38 Keeyapaj W, Alfirevic A. Carinal resection using an airway exchange catheter-assisted veno venous ECMO technique. Can J Anaesth 2012; 59: 1075-1076
• 39 Aigner C, Wisser W, Taghavi S. et al. Institutional experience with extracorporeal membrane oxygenation in lung transplantation. Eur J Cardiothorac Surg 2007; 31: 468-473
• 40 Mujovic N, Mujovic N, Subotic D. et al. Preoperative pulmonary rehabilitation in patients with non-small cell lung cancer and chronic obstructive pulmonary disease. Arch Med Sci 2014; 10: 68-75
• 41 Loganathan RS, Stover DE, Shi W. et al. Prevalence of COPD in women compared to men around the time of diagnosis of primary lung cancer. Chest 2006; 129: 1305-1312
• 42 Congleton J, Muers MF. The incidence of airflow obstruction in bronchial carcinoma, its relation to breathlessness, and response to bronchodilator therapy. Respir Med 1995; 89: 291-296
• 43 Brunelli A, Charloux A, Bolliger CT. et al. ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy). Eur Respir J 2009; 34: 17-41
• 44 Bölükbas S, Eberlein M, Eckhoff J. et al. Short-Term effects of inhalative tiotropium/formoterol vs. tiotropium/formoterol/budenoside in surgery patients with newly diagnosed chronic obstructive pulmonary disease: a prospective randomized trial. Eur J Cardiothorac Surg 2011; 39: 995-1000
• 45 Rozé H, Lafargue M. Management of intraoperative hypoxemia in unipulmonary ventilation. IRBM 2009; 30: 35-40
• 46 Redwan B, Biancosino C, Giebel F. et al. Perioperative single-site veno-venous extracorporeal CO₂ removal for minimally invasive giant bulla resection. Perfusion 2017; 32: 698-701
• 47 Redwan B, Ziegeler S, Semik M. et al. Single-site cannulation venovenous extracorporeal CO₂ removal as bridge to lung volume reduction surgery in end-stage lung emphysema. ASAIO J 2016; 62: 743-746
• 48 Tsunezuka Y, Sato H, Tsubota M. et al. Significance of percutaneous cardiopulmonary bypass support for volume reduction surgery with severe hypercapnia. Artif Organs 2000; 24: 70-73
• 49 Oey IF, Peek GJ, Firmin RK. et al. Post-pneumonectomy video-assisted thoracoscopic bullectomy using extra-corporeal membrane oxygenation. Eur J Cardiothorac Surg 2001; 20: 874-876
• 50 Willms DC, Mendez R, Norman V. et al. Emergency bedside extracorporeal membrane oxygenation for rescue of acute tracheal obstruction. Respir Care 2012; 57: 646-649
• 51 Higashi K, Takeshita J, Terasaki H. et al. [A case of acute airway obstruction with sharp sawdust particles, successfully treated by extracorporeal lung assist]. Kokyu To Junkan 1989; 37: 329-333
• 52 Park JM, Kim CW, Cho HM. et al. Induced airway obstruction under extracorporeal membrane oxygenation during treatment of life-threatening massive hemoptysis due to severe blunt chest trauma. J Thorac Dis 2014; 6: 255-258
• 53 Natt B, Knepler Jr J, Kazui T. et al. The use of extracorporeal membrane oxygenation in the bronchoscopic management of critical upper airway obstruction. J Bronchology Interv Pulmonol 2017; 24: 12-14
• 54 Johnson AP, Cavarocchi NC, Hirose H. Ventilator strategies for VV ECMO management with concomitant tracheal injury and H1N1 influenza. Heart Lung Vessel 2015; 7: 74-80
• 55 Jeng EI, Piovesana G, Taylor J. et al. Extracorporeal membrane oxygenation to facilitate tracheal healing after oesophagogastric catastrophe. Eur J Cardiothorac Surg 2018; 53: 288-289
• 56 Langer T, Santini A, Bottino N. et al. “Awake” extracorporeal membrane oxygenation (ECMO): pathophysiology, technical considerations, and clinical pioneering. Crit Care 2016; 20: 150
• 57 Li X, He H, Sun B. Veno-venous extracorporeal membrane oxygenation support during lung volume reduction surgery for a severe respiratory failure patient with emphysema. J Thorac Dis 2016; 8: 240-243