Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review

Relapsing polychondritis is an immune disorder of unknown etiology involving multiple systems that is characterized by persistent inflammation and destruction of cartilage, including the ears, nose, costal, joint, and airways. Airway involvement caused by relapsing polychondritis is common, and trac...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Pengcheng Zhou, Bing Fu, Chuantao Zhang, Keling Chen, Qianming Xia, Wenjun Tang, Wei Yu, Wenhui Huang
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	extracorporeal membrane oxygenation relapsing polychondritis tracheobronchomalacia severe airway stenosis bronchoscopy interventional therapy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/afb2d0a12ede45238ff3d61722d5c7c3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:afb2d0a12ede45238ff3d61722d5c7c3
record_format	dspace
spelling	oai:doaj.org-article:afb2d0a12ede45238ff3d61722d5c7c32021-11-30T11:56:48ZBronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review2296-858X10.3389/fmed.2021.695505https://doaj.org/article/afb2d0a12ede45238ff3d61722d5c7c32021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.695505/fullhttps://doaj.org/toc/2296-858XRelapsing polychondritis is an immune disorder of unknown etiology involving multiple systems that is characterized by persistent inflammation and destruction of cartilage, including the ears, nose, costal, joint, and airways. Airway involvement caused by relapsing polychondritis is common, and tracheobronchomalacia is the most serious complication, which is life-threatening. Currently, the exact mechanism of relapsing polychondritis with tracheobronchomalacia is unknown. Although glucocorticoids and immunosuppressive agents are administered, failures often occur. Currently, bronchoscopy-guided intervention therapy used in tracheobronchomalacia caused by chronic obstructive pulmonary disease or other etiology has gradually increased, but bronchoscopy-guided intervention therapy with extracorporeal membrane oxygenation assist used in tracheobronchomalacia caused by relapsing polychondritis has not been reported. Here, we report a case of relapsing polychondritis with severe tracheobronchomalacia. Although drug therapy was provided and airway stent implantation was performed, the tracheal stenosis was further aggravated. Because conventional anesthesia and mechanical ventilation cannot meet the needs of bronchoscopy-guided intervention therapy or guarantee sufficient safety. The intervention treatment was performed with the support of extracorporeal membrane oxygenation, which was successfully completed without obvious complications. The symptoms were significantly improved, and the patient was discharged uneventfully.Pengcheng ZhouBing FuChuantao ZhangKeling ChenQianming XiaWenjun TangWei YuWenhui HuangFrontiers Media S.A.articleextracorporeal membrane oxygenationrelapsing polychondritistracheobronchomalaciasevere airway stenosisbronchoscopyinterventional therapyMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	extracorporeal membrane oxygenation relapsing polychondritis tracheobronchomalacia severe airway stenosis bronchoscopy interventional therapy Medicine (General) R5-920
spellingShingle	extracorporeal membrane oxygenation relapsing polychondritis tracheobronchomalacia severe airway stenosis bronchoscopy interventional therapy Medicine (General) R5-920 Pengcheng Zhou Bing Fu Chuantao Zhang Keling Chen Qianming Xia Wenjun Tang Wei Yu Wenhui Huang Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review
description	Relapsing polychondritis is an immune disorder of unknown etiology involving multiple systems that is characterized by persistent inflammation and destruction of cartilage, including the ears, nose, costal, joint, and airways. Airway involvement caused by relapsing polychondritis is common, and tracheobronchomalacia is the most serious complication, which is life-threatening. Currently, the exact mechanism of relapsing polychondritis with tracheobronchomalacia is unknown. Although glucocorticoids and immunosuppressive agents are administered, failures often occur. Currently, bronchoscopy-guided intervention therapy used in tracheobronchomalacia caused by chronic obstructive pulmonary disease or other etiology has gradually increased, but bronchoscopy-guided intervention therapy with extracorporeal membrane oxygenation assist used in tracheobronchomalacia caused by relapsing polychondritis has not been reported. Here, we report a case of relapsing polychondritis with severe tracheobronchomalacia. Although drug therapy was provided and airway stent implantation was performed, the tracheal stenosis was further aggravated. Because conventional anesthesia and mechanical ventilation cannot meet the needs of bronchoscopy-guided intervention therapy or guarantee sufficient safety. The intervention treatment was performed with the support of extracorporeal membrane oxygenation, which was successfully completed without obvious complications. The symptoms were significantly improved, and the patient was discharged uneventfully.
format	article
author	Pengcheng Zhou Bing Fu Chuantao Zhang Keling Chen Qianming Xia Wenjun Tang Wei Yu Wenhui Huang
author_facet	Pengcheng Zhou Bing Fu Chuantao Zhang Keling Chen Qianming Xia Wenjun Tang Wei Yu Wenhui Huang
author_sort	Pengcheng Zhou
title	Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review
title_short	Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review
title_full	Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review
title_fullStr	Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review
title_full_unstemmed	Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review
title_sort	bronchoscopy-guided intervention therapy with extracorporeal membrane oxygenation support for relapsing polychondritis with severe tracheobronchomalacia: a case report and literature review
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/afb2d0a12ede45238ff3d61722d5c7c3
work_keys_str_mv	AT pengchengzhou bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview AT bingfu bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview AT chuantaozhang bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview AT kelingchen bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview AT qianmingxia bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview AT wenjuntang bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview AT weiyu bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview AT wenhuihuang bronchoscopyguidedinterventiontherapywithextracorporealmembraneoxygenationsupportforrelapsingpolychondritiswithseveretracheobronchomalaciaacasereportandliteraturereview
_version_	1718406644067467264

Bronchoscopy-Guided Intervention Therapy With Extracorporeal Membrane Oxygenation Support for Relapsing Polychondritis With Severe Tracheobronchomalacia: A Case Report and Literature Review

Ejemplares similares