Management of malignancy-induced, life-threatening hypoxemic respiratory failure using a self-expanding Y stent

Nathaniel M Ivanick; Harshwant Grover; Gregory Fuhrer; Yaron Perry; Subin Sharma; Julia Faller

doi:10.1016/j.rmcr.2022.101803

Management of malignancy-induced, life-threatening hypoxemic respiratory failure using a self-expanding Y stent

Respir Med Case Rep. 2022 Dec 29:42:101803. doi: 10.1016/j.rmcr.2022.101803. eCollection 2023.

Authors

Nathaniel M Ivanick¹, Harshwant Grover², Gregory Fuhrer², Yaron Perry³, Subin Sharma⁴, Julia Faller⁴

Affiliations

¹ Department of Thoracic Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.
² Department of Pulmonary and Critical Care, University at Buffalo, Buffalo, NY, 14203, USA.
³ Division of Thoracic Surgery, University at Buffalo, Buffalo, NY, 14263, USA.
⁴ Department of Anesthesia, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.

Abstract

We present the case of a young woman transferred to our center with acute hypoxic respiratory failure due to an obstructing subcarinal mass. We review the management and rationale of this respiratory failure at different stages of her hospital course. We describe the approach and rationale in both the intensive care unit as well as the bronchoscopy suite. Finally, we discuss how the use of a novel hybrid Y stent effectively palliated her symptoms.

Keywords: Extracorporeal membrane oxygenation; Hybrid Y stent; Malignant central airway obstruction.

Publication types

Case Reports