Successful Use of Pulmonary Cryotherapy for Tracheobronchial Thrombus Extraction and Recanalization of the Tracheobronchial Tree During a Pediatric Venovenous Extracorporeal Membrane Oxygenation Run

Kevin Engelhardt; Timothy Pirolli; Lakshmi Raman; Muhanned Abu-Hijleh; Susan Hupp

doi:10.1089/ped.2018.0911

Successful Use of Pulmonary Cryotherapy for Tracheobronchial Thrombus Extraction and Recanalization of the Tracheobronchial Tree During a Pediatric Venovenous Extracorporeal Membrane Oxygenation Run

Pediatr Allergy Immunol Pulmonol. 2019 Mar 1;32(1):28-30. doi: 10.1089/ped.2018.0911. Epub 2019 Mar 18.

Authors

Kevin Engelhardt^{1

2}, Timothy Pirolli^{3

4}, Lakshmi Raman^{1

2}, Muhanned Abu-Hijleh⁵, Susan Hupp^{1

2}

Affiliations

¹ Division of Pediatric Intensive Care, Department of Pediatrics, University of Texas Southwestern, Dallas, Texas.
² Children's Health Dallas, Critical Care, Dallas, Texas.
³ Department of Cardiothoracic Surgery, University of Texas Southwestern, Dallas, Texas.
⁴ Children's Health Dallas, Heart Center, Dallas, Texas.
⁵ Pulmonary and Critical Care Medicine, University of Texas Southwestern, Dallas, Texas.

Abstract

Impacted pediatric tracheobronchial thrombus is an uncommon diagnosis. There are no clearly proven therapeutic options for airway casts due to a similar process, plastic bronchitis. Cryotherapy, specifically cryoextraction, has shown potential as a therapeutic option in adults with tracheobronchial thrombus and cast. We describe the novel application of this method in a complex pediatric patient.

Keywords: cryotherapy; pediatric; tracheobronchial thrombus.

Publication types

Case Reports