Case report demonstrates successful bronchoscopic resection of tracheal leiomyoma in high-risk scenario, indicating multidisciplinary collaboration importance.
Tracheal leiomyomas are extremely rare benign tumors that are most commonly treated by bronchoscopic or surgical resection. Procedure-related complication rates are low, with surgical tracheal resection carrying the highest risk. Nonetheless, related airway obstruction is a potentially devastating complication. As proficiency develops, more centers are utilizing extracorporeal membranous oxygenation (ECMO) not just for critically ill patients but also for high-risk airway therapeutic procedures. However, ECMO carries its own potential complications, and the decision to cannulate requires multidisciplinary discussions. We present a case of a high-risk tracheal leiomyoma that was successfully resected bronchoscopically with ECMO on standby.
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Liou et al. (2026) studied this question.
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