medical image of the week: bronchial clot removal via cryotherapy

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ID: 236708
2016
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Abstract
No abstract available. Article truncated at 150 words. A 38-year-old man with a history of non-ischemic dilated cardiomyopathy presented with decompensated heart failure, acute renal failure, and possible sepsis. He underwent right cardiac catheterization but developed hemoptysis with concern for pulmonary artery rupture. Subsequently, the patient suffered a cardiac arrest but was resuscitated. Emergent bronchoscopy revealed copious amounts of blood and clot that could not be cleared at the time. The patient was then taken to the operating room and placed on A-A ECMO (left ventricle to aorta). The following morning chest x-ray (Figure 1) revealed a completely opacified left lung. Flexible bronchoscopy showed blood clot along the entire left bronchial tree. Initial attempts to remove the clot with suction and endobronchial graspers was unsuccessful. Ultimately, cryotherapy was used to remove the majority of the clot in fragments (Figure 2). The use of cryotherapies and specifically, in this case, a cryoprobe, has been shown to safely and effectively …
Reference Key
2016southwestmedical Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Ho CV ;Matika R ;Amberger M
Journal journal of photochemistry and photobiology b: biology
Year 2016
DOI
10.13175/swjpcc109-16
URL
http://www.swjpcc.com/imaging/2016/11/23/medical-image-of-the-week-bronchial-clot-removal-via-cryothe.html
Keywords
toxicity Cancer MSH2 challenge MRI bleeding stroke surgery skin infection prognosis asthma specificity elderly mortality complication disseminated intravascular coagulation right ventricle autism interpretation ultrasound ovarian cancer treatment radiation therapy endoscopy diagnosis lactate hemodialysis vasculitis aneurysm liver symptoms gastrointestinal lumbar puncture peep pneumonia renal disease bladder cancer myocardial infarction heart failure back pain head cocaine cyst hernia differential diagnosis stem cell lithium nausea cardiopulmonary resuscitation tumor trachea cardiac mri hair congenital foreign body calcification influenza cartilage subarachnoid hemorrhage breathing echocardiography hemoptysis headache cryotherapy gas mycobacterium lynch syndrome vegetable sepsis ct scan dyspnea cpr sensitivity brain mri corticosteroids collateral arteries esophagus diaphragm left ventricle neutropenia coil embolization conditioning sarcoidosis chest x-ray threshold acute lymphoblastic leukemia all pulmonary embolism soft tissue obstruction congestive heart failure respiration achalasia cough arteriovenous malformation aspiration ct angiography right atrial thrombus hereditary fev1 lymphadenopathy trabeculae large intestine gvhd casting barium swallow transplant bronchiectasis graft versus host disease spirochete thoracic atelectasis anaerobic cta mediastinal lymph nodes fistula bronchoscopy coccidioidomycosis oxygen consumption critical care dic mac first aid intensive care posterior membrane

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