Successful Rescue of Life-threatening Hemoptysis Caused by Pulmonary Tuberculosis Bridging with Extracorporeal Membrane Oxygenation |
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| Authors: | Taisuke Araki Naoya Uehara Hiroshi Kamijo Yusuke Suzuki Masamichi Komatsu Ryosuke Machida Yosuke Wada Takashi Ichiyama Atsuhito Ushiki Masayuki Hanaoka |
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| Affiliation: | 1.First Department of Internal Medicine, Shinshu University School of Medicine, Japan; 2.Department of Emergency and Critical Care Medicine, Shinshu University School of Medicine, Japan |
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| Abstract: | Massive hemoptysis is a fatal complication associated with pulmonary tuberculosis (TB). It can lead to severe respiratory failure. Extracorporeal membrane oxygenation (ECMO) is a life-saving technology that is rarely indicated for bleeding disorders. We herein report a 26-year-old man who presented with severe respiratory failure caused by massive hemoptysis with pulmonary TB. Transcatheter artery embolization was successfully performed with venovenous ECMO support. The hemostatic procedure allowed concomitant anticoagulant use, and neither bleeding nor thrombotic complications occurred throughout the clinical course. Administering the appropriate hemostatic procedure with subsequent management, including anticoagulant therapy, supported ECMO application in a case of bleeding. |
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| Keywords: | extracorporeal membrane oxygenation tuberculosis massive hemoptysis transcatheter artery embolization anticoagulant therapy |
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