Aster Medical Journal (AMJ)

Tracheal Stenting for Post-Tubercular Tracheal Stenosis in a Patient on ECMO Support

1DNB-PG Resident, Department of Pulmonology, Aster Medcity, Kochi, India;

2Head of Department and Lead Consultant, Department of Pulmonology, Aster Medcity, Kochi, India;

3Consultant Pulmonologist, Aster Medcity, Kochi, India;

4Specialist in Pulmonology, Aster Medcity, Kochi, India

Correspondence

Anjaly K.C., Kadiparambath House, Edappally North, Ponekkara, AIMS P.O., Kochi 682041, Kerala, India.

Email: anjalikc18@gmail.com

Key Words

endobronchial tuberculosis, endobronchial stent, silicone stent, ECMO.

Financial and Competing Interest

No conflicts of interest declared.

Informed Consent

Written informed consent for the paper to be published (including images, case history and data) was obtained from the patient/guardian for publication of this paper, including the accompanying images.

ABSTRACT

Endobronchial tuberculosis (EBTB) is defined as tuberculous infection of the tracheobronchial tree with microbial and histopathological evidence. It is seen in 10-40% of patients with active pulmonary tuberculosis. More than 90% of the patients with EBTB have some degree of airway stenosis. Balloon dilatation and self-expanding stent insertion is an effective treatment for bronchial stenosis. Use of endobronchial stents should only be considered in lesions of proximal location when other dilatational methods have failed. Here, we report the use of emergency bedside extracorporeal membrane oxygenation (ECMO) as a salvage manoeuvre in a case of distal tracheal obstruction of

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