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May 20, 2026American Journal of Respiratory and Critical Care Medicine

D24-06 From Tear to Repair: Airway Stents and ECMO in Complex Tracheal Injury

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Authors

AQA QuentalAMA MaggeAKA Karambelkar

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Overview

Case report demonstrating airway stenting and VV-ECMO for managing tracheal injury in an obese patient, indicating a non-surgical option.

Key Points

  • To illustrate the management of a near full-thickness tracheal tear in a high-risk patient using VV-ECMO and stenting.
  • Case report of a 53-year-old woman with morbid obesity and tracheal injury due to intubation.
  • Management included VV-ECMO to enable healing and prevent ventilation-induced injury.
  • Rigid bronchoscopy was performed for stent placement after complications arose.
  • Successful stent placement preserved airway integrity despite extensive injury.
  • Patient experienced multiple complications including VAP and ultimately did not survive.
  • VV-ECMO effectively offloaded positive pressure ventilation during management.

Cite This Study

Quental et al. (2026) studied this question.

synapsesocial.com/papers/6a0d50bdf03e14405aa9cb23https://doi.org/10.1093/ajrccm/aamag162.3586
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