{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:50:00Z","timestamp":1787748600058,"version":"build-2784847793"},"reference-count":12,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,2]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Tracheal tear after endotracheal intubation is extremely rare. The role of silicone Y-stent in the management of tracheal injury has been documented in the previous studies. However, none of the studies have mentioned the deployment of silicone Y-stent via rigid bronchoscope with the patient solely supported by extracorporeal membrane oxygenation (ECMO) without general anaesthesia delivered via the side port of the rigid bronchoscope. We report a patient who had a tracheal tear due to endotracheal tube migration following a routine video-assisted thoracoscopic surgery sympathectomy, which was successfully managed with silicone Y-stent insertion. Procedure was done while she was undergoing ECMO; hence, no ventilator connection to the side port of the rigid scope was required. This was our first experience in performing Y-stent insertion fully under ECMO, and the patient had a successful recovery.<\/jats:p>","DOI":"10.1136\/bcr-2020-236414","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T18:18:21Z","timestamp":1608661101000},"page":"e236414","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Silicone Y-stent insertion under extracorporeal membrane oxygenation (ECMO) in a patient with tracheal tear"],"prefix":"10.1136","volume":"13","author":[{"given":"Nurul Yaqeen","family":"Mohd Esa","sequence":"first","affiliation":[{"name":"Respiratory, Sunway Medical Centre Velocity, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7526-361X","authenticated-orcid":false,"given":"Mohamed","family":"Faisal","sequence":"additional","affiliation":[{"name":"Respiratory, National University of Malaysia Faculty of Medicine, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saravanan","family":"Vengadesa Pilla","sequence":"additional","affiliation":[{"name":"Pulmonology, Hospital Serdang, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamalul Azizi","family":"Abdul Rahaman","sequence":"additional","affiliation":[{"name":"Pulmonology, Hospital Serdang, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"2025082711121892000_13.12.e236414.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(97)00111-5"},{"key":"2025082711121892000_13.12.e236414.2","doi-asserted-by":"crossref","DOI":"10.4097\/kjae.2012.62.3.277","article-title":"Tracheal rupture after endotracheal intubation - a report of three cases","volume":"62","author":"Lim","year":"2012","journal-title":"Korean J Anesthesiol"},{"key":"2025082711121892000_13.12.e236414.3","article-title":"Conservative management of post-intubation tracheal tears-report of three cases","volume":"6","author":"Ov\u00e1ri","year":"2014","journal-title":"J Thorac Dis"},{"key":"2025082711121892000_13.12.e236414.4","doi-asserted-by":"crossref","first-page":"99","DOI":"10.4103\/0972-5229.114826","article-title":"Management of post-intubation tracheal membrane ruptures: a practical approach","volume":"17","author":"Singh","year":"2013","journal-title":"Indian J Crit Care Med"},{"key":"2025082711121892000_13.12.e236414.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-010-1906-5"},{"key":"2025082711121892000_13.12.e236414.6","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200111000-00047"},{"key":"2025082711121892000_13.12.e236414.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.12.040"},{"key":"2025082711121892000_13.12.e236414.8","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.1111\/resp.12853","article-title":"Airway stenting in the management of iatrogenic tracheal injuries: 10-year experience","volume":"21","author":"Tazi-Mezalek","year":"2016","journal-title":"Respirology"},{"key":"2025082711121892000_13.12.e236414.9","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1055\/s-0035-1570376","article-title":"Management of postintubational tracheal injury by endoscopic stent placement: case report and review of the literature","volume":"5","author":"Geltner","year":"2016","journal-title":"Thorac Cardiovasc Surg Rep"},{"key":"2025082711121892000_13.12.e236414.10","doi-asserted-by":"crossref","first-page":"2660","DOI":"10.21037\/jtd.2019.05.61","article-title":"Extracorporeal membrane oxygenation in traumatic tracheal injuries: a BOLD life-saving option","volume":"11","author":"Aprile","year":"2019","journal-title":"J Thorac Dis"},{"key":"2025082711121892000_13.12.e236414.11","doi-asserted-by":"crossref","first-page":"E50","DOI":"10.21037\/jtd.2017.01.19","article-title":"Update on the diagnosis and treatment of tracheal and bronchial injury","volume":"9","author":"Zhao","year":"2017","journal-title":"J Thorac Dis"},{"key":"2025082711121892000_13.12.e236414.12","unstructured":"Farley LS , Schlicksup KE . Tracheal Injury. In: StatPearls. 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