Key result
ECMO controls catheter-induced pulmonary hemorrhage by shunting blood flow in a massive hemoptysis patient.
Case Report (n=1)
ECMO may be an effective rescue strategy for controlling severe catheter-induced pulmonary hemorrhage by shunting pulmonary blood flow.
We report a case of catheter-induced pulmonary hemorrhage, which had a favorable outcome on using extracorporeal membrane oxygenation. This procedure helped shunt pulmonary blood flow and significantly reduced bleeding from the pulmonary artery. Massive hemoptysis was observed while weaning the patient off cardiopulmonary bypass. Thus, catheter-induced pulmonary hemorrhage was suspected. After the bronchial blocker was inserted, extracorporeal membrane oxygenation was initiated to reduce pulmonary blood flow. The bronchial blocker was removed the day after the surgery, and the extracorporeal membrane oxygenation was withdrawn on the fourth day after the surgery. Tracheal bleeding did not recur during the postoperative period.
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Hirata et al. (2022) conducted a case report in Catheter-induced pulmonary hemorrhage (n=1). Extracorporeal membrane oxygenation was evaluated on Control of pulmonary artery hemorrhage. Extracorporeal membrane oxygenation successfully shunted pulmonary blood flow and controlled catheter-induced pulmonary hemorrhage in a patient with massive hemoptysis.
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