{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:15:23Z","timestamp":1740165323283,"version":"3.37.3"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Pulmonology"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Bridging to diagnosis is an emerging technique used in end-stage cardiorespiratory failure that prolongs a patient\u2019s life using various modalities of extracorporeal lung support (ECLS) to achieve antemortem diagnosis. Pulmonary tumor embolism occurs when cell clusters travel from primary malignancies through venous circulation to the lungs, causing respiratory failure through inflammatory and venoocclusive pathways. Due to its nonspecific symptomatology, pulmonary tumor embolism remains an elusive diagnosis antemortem. Herein, we bridge a patient who presented in acute respiratory failure to the diagnosis of pulmonary tumor embolism from a gastric signet-ring cell carcinoma using ECLS modalities including venoarterial extracorporeal membrane oxygenation and centrally cannulated Novalung pumpless extracorporeal lung assist. We demonstrate the utility of this approach in diagnostically uncertain cases in unstable patients who are potentially acceptable ECLS and transplant candidates.<\/jats:p>","DOI":"10.1155\/2016\/3257084","type":"journal-article","created":{"date-parts":[[2016,12,14]],"date-time":"2016-12-14T16:21:57Z","timestamp":1481732517000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Extracorporeal Lung Support as a Bridge to Diagnosis of Pulmonary Tumor Embolism"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5803-7995","authenticated-orcid":true,"given":"Vishnu","family":"Vasanthan","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Alberta, Edmonton, AB, Canada"},{"name":"Mazankowski Alberta Heart Institute, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kieran","family":"Halloran","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Alberta, Edmonton, AB, Canada"},{"name":"University of Alberta Hospital, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0840-9041","authenticated-orcid":true,"given":"Lakshmi","family":"Puttagunta","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Alberta, Edmonton, AB, Canada"},{"name":"University of Alberta Hospital, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5827-9823","authenticated-orcid":true,"given":"Jayan","family":"Nagendran","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alberta, Edmonton, AB, Canada"},{"name":"Mazankowski Alberta Heart Institute, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1056\/nejm197203232861204"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(91)90006-6"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs401"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(87)90548-5"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/1054-8807(92)90038-p"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9343(03)00305-x"},{"key":"7","first-page":"228","volume":"19","year":"1868","journal-title":"Transactions of the Pathological Society of London"},{"year":"1903","key":"8"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197510)36:4<1473::aid-cncr2820360440>3.0.co;2-d"},{"issue":"19, supplement","key":"10","first-page":"II206","volume":"100","year":"1999","journal-title":"Circulation"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2009.02549.x"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2011.05.011"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i40.11428"},{"issue":"9","key":"14","first-page":"863","volume":"90","year":"1991","journal-title":"Journal of the Formosan Medical Association"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.137.5.1072"},{"issue":"8","key":"16","first-page":"877","volume":"25","year":"1984","journal-title":"Journal of Nuclear Medicine"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2015.12.099"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.12659\/ajcr.892772"}],"container-title":["Case Reports in Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripu\/2016\/3257084.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripu\/2016\/3257084.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripu\/2016\/3257084.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,12,14]],"date-time":"2016-12-14T16:21:57Z","timestamp":1481732517000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cripu\/2016\/3257084\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":18,"alternative-id":["3257084","3257084"],"URL":"https:\/\/doi.org\/10.1155\/2016\/3257084","relation":{},"ISSN":["2090-6846","2090-6854"],"issn-type":[{"type":"print","value":"2090-6846"},{"type":"electronic","value":"2090-6854"}],"subject":[],"published":{"date-parts":[[2016]]}}}