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Rotz SJ, Almeida FA, Koyfman S, Krishnan S, Thind GS, Phillips W, Yun J, Zembillas A, Zahniser M, Bribriesco A. Continuous infusion chemotherapy, radiotherapy, and FDG-PET are feasible during extracorporeal membrane oxygenation. Pediatr Blood Cancer 2020; 67:e28429. [PMID: 32672885 PMCID: PMC7699825 DOI: 10.1002/pbc.28429] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 05/01/2020] [Accepted: 05/02/2020] [Indexed: 12/19/2022]
Abstract
Extracorporeal membrane oxygenation (ECMO) may be used in extreme circumstances for patients with a mediastinal mass and respiratory failure. We report on a young man with primary mediastinal B-cell lymphoma invading into the trachea, requiring a 40-day ECMO run who underwent fluorodeoxyglucose positron emission tomography (FDG-PET) imaging and treatment with concurrent mediastinal irradiation and continuous infusion chemotherapy while on this life-saving technology. This case illustrates that oncology patients may be managed by multidisciplinary teams for extended periods in extraordinary circumstances using multimodality therapies. Additionally, to our knowledge this is the first case to demonstrate the feasibility of FDG-PET imaging while on ECMO.
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Affiliation(s)
- Seth J Rotz
- Department of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, Cleveland Clinic Children’s Hospital, Cleveland, Ohio, USA
| | | | - Shlomo Koyfman
- Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio, USA
| | - Sudhir Krishnan
- Department of Pulmonary Medicine, Cleveland Clinic, Cleveland, Ohio, USA,Department of Critical Care Medicine, Cleveland Clinic, Cleveland, Ohio, USA
| | | | - William Phillips
- Department of Cardiothoracic Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA
| | - James Yun
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA
| | - Anthony Zembillas
- Department of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, Cleveland Clinic Children’s Hospital, Cleveland, Ohio, USA
| | - Mark Zahniser
- Department of Cardiothoracic Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA
| | - Alejandro Bribriesco
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA
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