{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:09:35Z","timestamp":1753870175071,"version":"3.41.2"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,3,7]],"date-time":"2017-03-07T00:00:00Z","timestamp":1488844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Canadian Thoracic Society (CTS) Research Committee of the Lung Association (CLA) studentship","award":["2015-2017"],"award-info":[{"award-number":["2015-2017"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>Endobronchial tumour embolism is a rare cause of acute central airway obstruction. It is primarily reported during pneumonectomy, and the outcome is frequently fatal. Successful management requires the urgent removal of tumour with rigid or flexible bronchoscopy. We present the case of a 62\u2010year\u2010old woman with poorly differentiated non\u2010small cell lung cancer (<jats:styled-content style=\"fixed-case\">NSCLC<\/jats:styled-content>), referred to our institution for Nd:<jats:styled-content style=\"fixed-case\">YAG<\/jats:styled-content> laser photoresection of endobronchial tumour completely obstructing the right mainstem bronchus (<jats:styled-content style=\"fixed-case\">RMSB<\/jats:styled-content>). Soon after admission, our patient developed critical hypoxemia, rapidly followed by cardiac arrest. Bronchoscopy was urgently performed and revealed a necrotic tumour occluding the left mainstem bronchus (<jats:styled-content style=\"fixed-case\">LMSB<\/jats:styled-content>), with some residual tumour and clot at the <jats:styled-content style=\"fixed-case\">RMSB<\/jats:styled-content>. The tumour acutely obstructing the <jats:styled-content style=\"fixed-case\">LMSB<\/jats:styled-content> was successfully extracted using a foreign body retrieval basket and large flexible biopsy forceps via a large (therapeutic) flexible bronchoscope. Ventilation immediately improved, with the return of a pulse, and the patient was successfully extubated the next day. Pathology of the tumour embolism revealed <jats:styled-content style=\"fixed-case\">NSCLC<\/jats:styled-content> with necrosis and an adherent clot. Here, we review 16 published reports of endobronchial tumour embolism in relation to our case.<\/jats:p>","DOI":"10.1002\/rcr2.225","type":"journal-article","created":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T00:56:38Z","timestamp":1488934598000},"source":"Crossref","is-referenced-by-count":1,"title":["It's better to be lucky\u2009\u2026\u2009successful management of an acute endobronchial tumour embolism in the <scp>ICU<\/scp>: a case report and review of the literature"],"prefix":"10.1002","volume":"5","author":[{"given":"Christopher J.","family":"Walsh","sequence":"first","affiliation":[{"name":"Department of Medicine Institute of Medical Sciences, Keenan Centre for Biomedical Research, Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Olivenstein","sequence":"additional","affiliation":[{"name":"Department of Respirology Montreal Chest Institute, McGill University Health Centre  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Forget","sequence":"additional","affiliation":[{"name":"Department of Respirology H\u00f4pital de Hull  Gatineau Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne V.","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Respirology Montreal Chest Institute, McGill University Health Centre  Montreal Canada"},{"name":"Respiratory Epidemiology and Clinical Research Unit McGill University  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(93)90190-M"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.12431"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e318169cdb0"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.26.6.747"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1976.tb11992.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.117929"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000017"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annfar.2006.02.014"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2000.01557-18.x"},{"key":"e_1_2_5_11_1","first-page":"801093","article-title":"Inability to ventilate after tube exchange postoperative to pneumonectomy","volume":"2012","author":"Verstraeten SE","year":"2012","journal-title":"Case Rep. 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