{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T23:30:45Z","timestamp":1776468645956,"version":"3.51.2"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,5,16]],"date-time":"2021-05-16T00:00:00Z","timestamp":1621123200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Tracheal sleeve pneumonectomy for lung cancer is an old technique, and it is reserved for exceptional cases with tracheal carina involvement. Intra-operative airways management of this operation is incredibly complex, involving thoracic surgeons, anaesthesiologists and pulmonologists. We report a case of a 38-year-old male with no clinical history, referred to our department for an adenoid-cystic carcinoma involving distal trachea, carina and main right bronchus. Tracheal sleeve pneumonectomy was performed using extra-corporeal membrane oxygenation (ECMO). A veno-venous ECMO circuit was established through a heparin-coated percutaneous cannula in the right femoral vein and a heparin-coated percutaneous cannula in the internal right jugular vein by ultrasound assistance. No major complications occurred, and the patient was discharged after 30-day bronchoscopic control, showing the absence of fistula and negativity of the methylene blue test. ECMO-assisted surgery ensures adequate respiratory support, haemodynamic stability, lower risk of bleeding complications with a clean operating field and better brain and myocardial oxygenation.<\/jats:p>","DOI":"10.1093\/icvts\/ivab124","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T19:14:45Z","timestamp":1617995685000},"page":"649-651","source":"Crossref","is-referenced-by-count":4,"title":["Veno-venous extra-corporeal membrane oxygenation-assisted right tracheal-sleeve pneumonectomy"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9931-5904","authenticated-orcid":false,"given":"Antonio","family":"Mazzella","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1153-3334","authenticated-orcid":false,"given":"Luca","family":"Bertolaccini","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3596-565X","authenticated-orcid":false,"given":"Francesco","family":"Petrella","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy"},{"name":"Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1068-3541","authenticated-orcid":false,"given":"Lorenzo","family":"Spaggiari","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy"},{"name":"Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,16]]},"reference":[{"key":"2022032913235274600_ivab124-B1","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1055\/s-0040-1714071","article-title":"Preliminary results of extra-corporeal membrane oxygenation assisted tracheal sleeve pneumonectomy for cancer","volume":"69","author":"Spaggiari","year":"2021","journal-title":"Thorac Cardiovasc Surg"},{"key":"2022032913235274600_ivab124-B2","doi-asserted-by":"crossref","first-page":"97","DOI":"10.5761\/atcs.oa.20-00224","article-title":"Multivariate analysis of risk factor for mortality and feasibility of extra-corporeal membrane oxygenation in high-risk thoracic surgery","volume":"27","author":"Kim","year":"2021","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2022032913235274600_ivab124-B3","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/S0096-5588(20)31703-7","article-title":"Experiences with the surgical resection of the human carina, tracheal wall, and contralateral bronchial wall in cases of right total pneumonectomy","volume":"19","author":"Abbott","year":"1950","journal-title":"J Thorac Surg"},{"key":"2022032913235274600_ivab124-B4","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.jtcvs.2012.04.002","article-title":"The pumpless extra-corporeal lung membrane provides complete respiratory support during complex airway reconstructions without inducing cellular trauma or a coagulatory and inflammatory response","volume":"144","author":"Sanchez-Lorente","year":"2012","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/33\/4\/649\/43057131\/ivab124.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/33\/4\/649\/43057131\/ivab124.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T13:30:51Z","timestamp":1648560651000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/33\/4\/649\/6276506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,16]]},"references-count":4,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,5,16]]},"published-print":{"date-parts":[[2021,10,4]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivab124","relation":{},"ISSN":["1569-9285"],"issn-type":[{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,10,1]]},"published":{"date-parts":[[2021,5,16]]}}}