Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism
Bridging to diagnosis is an emerging technique used in end-stage cardiorespiratory failure that prolongs a patient’s life using various modalities of extracorporeal lung support (ECLS) to achieve antemortem diagnosis. Pulmonary tumor embolism occurs when cell clusters travel from primary malignancie...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2016/3257084 |
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| _version_ | 1850172763702034432 |
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| author | Vishnu Vasanthan Kieran Halloran Lakshmi Puttagunta Jayan Nagendran |
| author_facet | Vishnu Vasanthan Kieran Halloran Lakshmi Puttagunta Jayan Nagendran |
| author_sort | Vishnu Vasanthan |
| collection | DOAJ |
| description | Bridging to diagnosis is an emerging technique used in end-stage cardiorespiratory failure that prolongs a patient’s life using various modalities of extracorporeal lung support (ECLS) to achieve antemortem diagnosis. Pulmonary tumor embolism occurs when cell clusters travel from primary malignancies through venous circulation to the lungs, causing respiratory failure through inflammatory and venoocclusive pathways. Due to its nonspecific symptomatology, pulmonary tumor embolism remains an elusive diagnosis antemortem. Herein, we bridge a patient who presented in acute respiratory failure to the diagnosis of pulmonary tumor embolism from a gastric signet-ring cell carcinoma using ECLS modalities including venoarterial extracorporeal membrane oxygenation and centrally cannulated Novalung pumpless extracorporeal lung assist. We demonstrate the utility of this approach in diagnostically uncertain cases in unstable patients who are potentially acceptable ECLS and transplant candidates. |
| format | Article |
| id | doaj-art-d50707919cac4e6aa4da250991f1d4f6 |
| institution | OA Journals |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-d50707919cac4e6aa4da250991f1d4f62025-08-20T02:20:00ZengWileyCase Reports in Pulmonology2090-68462090-68542016-01-01201610.1155/2016/32570843257084Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor EmbolismVishnu Vasanthan0Kieran Halloran1Lakshmi Puttagunta2Jayan Nagendran3Department of Surgery, University of Alberta, Edmonton, AB, CanadaDepartment of Medicine, University of Alberta, Edmonton, AB, CanadaDepartment of Medicine, University of Alberta, Edmonton, AB, CanadaDepartment of Surgery, University of Alberta, Edmonton, AB, CanadaBridging to diagnosis is an emerging technique used in end-stage cardiorespiratory failure that prolongs a patient’s life using various modalities of extracorporeal lung support (ECLS) to achieve antemortem diagnosis. Pulmonary tumor embolism occurs when cell clusters travel from primary malignancies through venous circulation to the lungs, causing respiratory failure through inflammatory and venoocclusive pathways. Due to its nonspecific symptomatology, pulmonary tumor embolism remains an elusive diagnosis antemortem. Herein, we bridge a patient who presented in acute respiratory failure to the diagnosis of pulmonary tumor embolism from a gastric signet-ring cell carcinoma using ECLS modalities including venoarterial extracorporeal membrane oxygenation and centrally cannulated Novalung pumpless extracorporeal lung assist. We demonstrate the utility of this approach in diagnostically uncertain cases in unstable patients who are potentially acceptable ECLS and transplant candidates.http://dx.doi.org/10.1155/2016/3257084 |
| spellingShingle | Vishnu Vasanthan Kieran Halloran Lakshmi Puttagunta Jayan Nagendran Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism Case Reports in Pulmonology |
| title | Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism |
| title_full | Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism |
| title_fullStr | Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism |
| title_full_unstemmed | Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism |
| title_short | Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism |
| title_sort | extracorporeal lung support as a bridge to diagnosis of pulmonary tumor embolism |
| url | http://dx.doi.org/10.1155/2016/3257084 |
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