596
KAZUISTIKA425200011157120176236269319376408468532
/982200011133
CASE1040200011155117168223
REPORT1288200011157113168230289344
Our42532009755100127
experience5693200974079125167194213254299336376
with9623200975978105150
VV11293200974593
ECMO‑assisted12393200974086151207235274306338357389417457503
surgery:17593200973276103148189216257275
case20513200973575107148
report22163200972667113158185215
series2448320097317299119160192
3420420001114394
|342200011126
ANESTEZIOLOGIE4268040010753112155200245290342362425467527586607650
A10988040010753
INTENZIVNÍ1172804001071978123168227276296345405426
MEDICÍNA16198040010770114174195248268328382
/20468040010732
Anest21238040010753101145179208
intenziv235180400107186693136184221240281
Med.26528040010770114164180
2025;36(1):34-382852804001074487128172185229273296336354368413458486527571
/34688040010731
www.aimjournal.cz48358040010765133201214257275349367415463490539579598614654693
https://doi.org/10.36290/aim.2025.00142543009543679513916918321423665843009846921147724300951457811251549254300984383102148191234277321347386408476496542585627671689733778819
Our4259100305162306424
experience900910030511624638750762270382096310761195
with21469100305180262357503
VV26999100305156324
ECMO‑assisted30749100305142296499663744864973108111591267136614881627
surgery:42511700305103244363485601716844914
case138911700305112236345465
report190511700305113234371500615718
series267411700305103223338419536643
Chovanec4251500014971141210271334404467521
Z.1,9711500014969103106515100873955
2,113515100873811761500014931
Pestal12311500014970131184227291324
A.1,15791500014979112168215100873955
2,175215100873817921500014931
Berkova18471500014973136182246314375438
A.1,23091500014979112241315100873955
2,248315100873825231500014931
Cervenak25781500014972133179245306377440505
V.2,3107150001497699320915100873959
3,328215100873933221500014931
Penka33771500014970131202267330
I.1,3732150001493466378915100873955
2,385915100873839001500014931
Cundrle39551500014972139209280326358421
I.2,4401150001493466446915100873959
44542151008739
11st425172007130451171001215185119
Department5911710012167118175223256292375426481514
of1126171001215584
Surgery12311710012149104136192242275326
St.1578171001214980102
Anne's17011710012161116172222240278
University20011710012164119142191240273313336369419
Hospital24411710012165121160216240273322345
Brno,2808171001215487143198217
Czech30461710012158103153199254
Republic33211710012154104161217274298321365
2Faculty425185007130456184001214993138193216249299
of776184001215584
Medicine,8811840012181132189212257280335385405
Masaryk13071840012181129169218250300348
University,16761840012165120143191240273314336370419435
Brno,2133184001215487142198217
Czech23711840012158103153199254
Republic26461840012154104161217273298320365
3Department4251980071304561970012167118175223256292375425481513
of991197001215584
Medical10961970012180131188212256305328
Imaging,14461970012124107155211234289345366
St.1833197001214981102
Anne’s19561970012161117172222243279
University22561970012165120143191241273314337370420
Hospital26971970012165121160216240273322345
Brno,3063197001215587143198218
Czech33021970012158103153199254
Republic35771970012154104161217273297320365
4Department4252110071304562100012167118175223256292375425481513
of991210001215584
Anesthesiology10962100012161116167206240295346385408463487542599647
and17642100012148103160
Intensive1945210001212480112161217256279327376
Care,23422100012158107139189209
St.2572210001215081102
Anne’s26952100012162117172223243279
University29962100012164119142191240273313336369419
Hospital34362100012165121160216240273322345
Brno,3803210001215487142198217
Czech40412100012158103153199254
Republic43162100012154104161217273298321365
Veno‑venous4252500012156103160216251300350407463519559
extracorporeal1008250001215098135169218264319353411468502553602626
membrane16582500012183135219277311361417468
oxygenation21502500012155101152209260317366399423479536
(VV2710250001212887148
ECMO)28822500012149107188259286
is3192250001212363
a32792500012148
technique3351250001213383130186242266324379431
of3805250001215585
extracorporeal3914250001215098135169218264319353411468502553602626
support4564250001214095153211268302339
that4926250001213390139172
facilitates5122250001212979125149173197231281314365405
blood425264001215782138195253
gas7012640012156105145
exchange,869264001215099143199248305362413434
enabling13262640012150107156213239263319376
the1725264001213389141
complete1889264001214499184242267318352403
replacement2315264001213283141166215261311396447504537
of2875264001215585
lung2983264001212480136193
function3199264001213086143189225249305362
for3584264001212985119
a37262640012148
specified3797264001214098150196220251278329387
duration,42072640012157113146196229253309366388
such4618264001213995141197
as4838264001214888
during49492640012157112146170227284
surge‑5256264001213995128185236271
ry.425278001213384101
By5522780012155103
using681278001215596120176233
this940278001213389113153
method,11192780012184135170226282340362
we15072780012174124
are1657278001214882133
able18162780012148105130182
to2024278001213388
provide2138278001215791146195219277328
surgical2492278001214095129186210255305330
treatment2848278001213366117166200284335392425
to3299278001213389
highly3414278001215579136192217265
selected3705278001214091116168214250301359
patients40902780012157107140164215272305347
who44632780012174130187
would46762780012173128185209267
otherwise4969278001215588145196230307332372424
be54192780012156108
unable4252920012155111160218243294
to740292001213388
undergo8492920012155111169220254311367
thoracic1236292001213389145179229275299344
surgery,1601292001214095128185236270322339
including1960292001212480126150206263288344401
tracheal/carinal2381292001213367116162218270319343379420470503528584633658
surgery3059292001214095129185237270322
and34012920012149105162
high‑risk3584292001215580136193226261286326373
one‑lung39782920012155111163197223279335392
ventilation4391292001214898155188212236285319343399455
due48672920012156112163
to5051292001213388
previous5160292001215690141190215271327367
lung425306001212479135192
resection637306001213384124175222258282338395
or1052306001215588
severe1160306001214091140190224274
lung1454306001212479136193
impairment.16673060012123107165214238272356408464497520
This22073060012149106131171
case2398306001214494134185
series2603306001214091125149201241
presents2864306001215791141182233290323364
our32483060012155111145
experience3413306001215098156208242266318374420470
with3903306001217398132188
elective4111306001215075126173209233282332
and44633060012148104162
acute4645306001214894150184234
ECMO‑assisted48993060012149107188258292341381421445485520570628
thoracic425320001213389145179229275299344
surgery792320001214095129186237271322
(excluding1137320001212977125170194249307331388445
lung1605320001212379135193
transplantation1821320001213366116172212270295344400433483517541597653
and24983200012148104162
cardiac2683320001214594128185209258304
surgery).3010320001214095129185237271322350369
Key4253370012461113164
words:61033700124751331712322768863370012324
veno‑venous930337001214897153208241290339394450505544
extracorporeal1495337001215098133166215259313346403459492542590613
membrane21303370012183134217274307355411461
oxygenation,26123370012155100151206256312360392415470526547
thoracic3180337001213388143176225270293337
surgery,3539337001213994126182232265315331
acute3892337001214893147181230
respiratory4143337001213383122178202234283315370402453
distress4617337001215680119153185235274313
syndrome.4952337001213987144200233287371422442
Naše4253620016688153212276
zkušenosti7253620016660137214271336412480537589630
s13793620016656
VV14593620016685176
ECMO16593620016677160269357
asistovanou20403620016666123164222274344409475555622697
chirurgií27613620016661138181244323386451494537
–33223620016660
série34063620016656121182224287
kazuistik37173620016676143205282324382434475554
Veno-venózní4253820012157105162219253303353410467510567591
extrakorporální10453820012151100137170220268323357416474507557582638662
membránová17373820012185137222280314364421478526576
oxygenace23423820012156103155211263320369415466
(VV2837382001212989150
ECMO)30173820012150109191262289
je3336382001212476
metoda34413820012185137172227286336
mimotělní38063820012185109194251285335360417440
podpory42763820012158115174232290324375
zajišťující4681382001214395119143183219275299323369393
adekvátní51043820012149107159207260309343400424
okysličení4253960012155102152192215238283332388411
a8613960012148
eliminaci93539600121507497180203258306351374
oxidu13353960012155100124180235
uhličitého.15953960012155111134157202225258307363418437
Touto2058396001215098154187241
metodou23243960012184134168222279334389
jsme2739396001212463146197
schopni2961396001214085140195252308331
poskytnout33183960012157112152198249285340395451484
chirurgickou38273960012145100123156211244299323367414467523
léčbu4375396001212474120176232
vysoce4632396001214899138194239288
selektovaným4946396001213990114164211247301348397452498582
pacientům,4254100012157106151174224280313368451472
kteří925410001214784133166189
by11434100012157103
jinak1275410001212448103151198
nemohli15014100012156107191246302326349
podstoupit18784100012157113171210244298354411434468
hrudní2374410001215688144201256279
operaci26824100012155112164197245290313
(tracheální/karinální302441000121285992140185241291340363418442476524574606630685734757813836
chirurgie,38884100012145100124156212244300324374394
rizikové4310410001213357100123170224271321
ventilace4659410001214898153186209232281326375
jedné5062410001212475132188239
plíce5329410001215781104149198
z4254240012143
důvodu4964240012157112160214271326
předchozí851424001215790140197242297353395418
resekce1298424001213282122173220264313
plic1639424001215781104149
nebo18174240012155106163219
těžkého2064424001213483126173222278334
postižení24264240012157113152186209252302358381
plic).2836424001215781104149176195
Tato3059424001215091124178
série3266424001213990123147197
kazuistik3491424001214797140196219258292315362
představuje3881424001215790140198237271320367423446497
naše44064240012156104143194
zkušenosti4628424001214390146185235291347386420443
s50994240012140
elektivní5167424001215175125173209232280337360
a4254380012148
akutní494438001214995151184239262
hrudní777438001215688144200256279
chirurgií10774380012145100123155211243299322345
asistovanou1443438001214988111150184238285333389444499
VV19634380012156116
ECMO21004380012149107187256
(kromě2377438001212975109164248298
transplantace2696438001213366114170209265289337392425474518568
plic3285438001215781104148
a34554380012148
kardiochirurgie).3524438001214796129185208263309364387419475507563586636662680
Klíčová425455001246190118163221273326
slova:77145500124447213118323610064550012324
VV10514550012156116
ECMO,11884550012149106187256274
hrudní1483455001215688144200256279
chirurgie,17834550012145100123155211243299322372392
akutní2197455001214894150183238261
respirační2480455001213282122178202234283327382406
selhání.2907455001213990114169217272295316
Introduction4255060015339113160219284354424480531570633705
To565524001074387
facilitate679524001072467109129148167196239267311
access1017524001074284124167202236
to1281524001072876
vascular1384524001074285119161210230272299
structures171052400107346492142184215264292336371
and2108524001074291142
bronchi,2277524001075179127177219268288304
lung2608524001071968118168
resection2804524001072771425538001073478119150168217265
surgery717538001073380107155199226269
is1012538001071952
typically1090538001072871121140181222241260300
performed1416538001075095122149196223298342392
with1835538001076584112160
selective202253800107337897141182213232273316
intubation236453800107196794142192233261279328376
and2767538001074089138
ventilation425552001074286136164184203245274293343393
on846552001074999
a9735520010742
collapsed1042552001074189110130172223258303355
(non‑ventilated)1425552001072471121172201244288338366386405447476520571597
lung.2049552001072069119170186
Acute2263552001075495144174218
respiratory2508552001072772107158178205248277325353397
distress425566001074968100129156199233266
syndrome712566001073475124173200247321365
(ARDS)1098566001072476121180221245
is1364566001071951
one1436566001074897141
example1598566001074484125198248267311
of1930566001074872
a20235660010741
medical20855660010774118168187227269287
condition2393566001074187136185204232251299347
that2761566001072876117144
can425580001074082130
make5795800010773114152195
one‑lung798580001074897141170190238286335
ventilation1157580001074184132159178196237264283331380
difficult156158000107496793122144186235256286
or1874580001074877
impossible.1979580001071894145196231266286338359405421
Other2428580001076092142188216
examples2672580001074385128203425594001075071117152
include601594001071969111132181232278
a9025940010741
previous967594001075078123166187237287321
pneumonectomy,13125940010750100146196271321372418461493541617658671
a20075940010740
planned2071594001075071114163213259311
lobectomy2406594001071969121167210242291367407
in2837594001071968
a4256080010741
patient487608001074993122142188238267
who7746080010765116166
has961608001074891126
already110760800107416290135177228270
undergone1398608001074797149194223273323373419
a18386080010741
bilobectomy190060800107497091141193239283315363439479
or2400608001074877
lobectomy2498608001071969121167210242291367407
on425622001074898
the547622001072777123
other694622001074777127173201
side,918622001073454105150167
and1108622001074191142
severe1273622001073480122167195240
bullous15366220010750100121141191241276
emphysema18356220010744119171221262297343419461
of2320622001074773
the2416622001072878124
lung2563622001072069119170
that2756622001072878120149
remains425636001072671146188209258293
untreated.738636001074797125154198240269313364382
Also,1140636001075374108158174
selective1334636001073379100146188220241283328
intubation168263600107196897146198241269290339390
might2092636001077393144194222
not2334636001074898127
be2481636001075096
possible25976360010750101136171190241263308
for425650001072474104
patients559650001075195125146192243273310
who9006500010766117168
have1099650001074992134180
tracheal1310650001072857102145196243285307
stenosis,1647650001073566111162213249270305324
tracheomalacia,2001650001072858102145196243295372415437480523544587605
injured263765000107197091141170215268
tracheobronchial425664001072858102145196243295348378428479523574595638659
tree,1115664001072857103151168
or1314664001074878
pressure1423664001075080125162198248277322
on17766640010749100
the1907664001072980127
tracheobronchial2065664001072857102145196243295348377427479522573594637659
tree2755664001072857103151
from425678001072453102178
the626678001072878124
outside773678001074898128165185236282
(mediastinum).1078678001072497143195215257291320338386434507529542
The565692001074190133
thoracic713692001072774121147188227245284
surgeon1013692001073378104151194241289
must13176920010773119151179
anticipate1511692001074087113131170188236277303344
these1871692001072774117150193
non-standard2079692001074795142169202230270317365404430477
situations257169200107335178125164190208255302334
and,425706001074189138154
if596706001071943
necessary,656706001074892133176209243285311354366
consider1039706001074086135168186235279306
a13627060010741
possible1420706001074999132165184233253297
alternative173470600107416088130157205246273292333376
to2127706001072875
ensure2219706001074392125172198241
safe247770600107347599142
surgery2636706001073481107156200226269
with425720001076585113161
adequate613720001074191135185233274301344
ventilation.983720001074185133160179198239266285333382399
One14087200010761110154
option1589720001074898126145193242
that1858720001072876117144
may20297200010774115154
completely2209720001074187162212231276304346366406
replace2642720001072669119139180221263
lung3047510001071965112160
ventilation3223510001074082129155173191231257275322369
is3608510001071950
veno-venous3674510001074082129176205245287334381429461
extracorporeal4150510001074382112137178218263289338386412454493512
membrane46775100010773116188237263303350393
oxygenation5086510001074784126173216263303329347394442
(VV3047524001072473123
ECMO).3190524001074293163224246259
VV3469524001074596
ECMO3584524001074293164224
support3828524001073380130180229256287
facilitates4135524001072365106125143162190231258301334
blood4489524001075069117166217
gas4725524001074990123
exchange4868524001074383122170211259308352
and5240524001074189138
can5398524001074081129
entirely3047538001074492119137164207226266
replace3334538001072770119139180220263
lung3618538001071966114164
function3803538001072372120161191210258307
for413153800107237198
a42505380010741
specified4312538001073483128169188212232275325
duration,4659538001074896122164191210258307322
such5002538001073481121169
as5193538001074074
during5288538001074996123142190239
surgery3047552001073481108156201228271
[1].33455520010926699034345520010716
Unlike34765520010757105124143181224
cardiopulmonary3727552001074082109157176225275324343417466515556582626
bypass,4379552001075090141183217250266
VV4672552001074697
ECMO4795552001074394165226
can5048552001074082130
continue5205552001074087136163182231278323
post-thoracic3047566001074997129158181208255303329369409427466
surgery3528566001073479105152195221262
for380656600107237096
days3917566001074988126159
or4092566001074773
weeks.41805660010764107150188223239
With4435566001077292119166
its461656600107194680
use,4712566001074779122136
we48635660010764107
are4985566001074066108
able5108566001074189108151
to5274566001072873
offer536356600107477097139165
safe304758000107347599142
surgical3213580001073481107156174214256275
treatment351258000107285497138165239283331358
to3894580001072874
highly3992580001074967116164183223
selected423958000107347897141182213255305
patients4568580001075092119138181230256291
in4883580001071967
whom49745800010765114162236
benefits5234580001075095143187211231259293
outweigh3047594001074897125193237256305353
the3427594001072876121
risks.357459400107274679117154171
Despite37715940010759104138187207235278
its407559400107194783
potential4184594001075099127170218245264305324
benefits,4535594001074995143188212232260295311
the4873594001072876121
intraoperative502059400107196794121163212262307334376403422464507
use3047608001074881125
of3199608001074872
VV3297608001074697
ECMO3420608001074293164225
in3671608001071967
thoracic3764608001072877125152194235253294
surgery4084608001073481107156200227270
remains4380608001072770144185203251284
rare,469160800107266895138152
often4870608001074872103146194
reserved5091608001072669103148174218262312
for542960800107247299
transplant304762200107285596144177226246287335362
surgery3428622001073481107155199226269
departments3717622001074993142184210241315359408434469
[2].42066220010926729543006220010716
In3187636001071967
our3271636001074896122
cases,3410636001074082115159193209
the3636636001072876120
indications3773636001071966116135175216243262310359392
for418263600107237198
elective4297636001074363106148178197238281
VV4595636001074696
ECMO‑assisted4708636001074293163224254295328361379412441484534
surgery5259636001073380107155199225268
included3047650001071968110129178229274325
either339965000107456493142188215
impossible3641650001071994145196230264283334354399
or4068650001074876
high‑risk4171650001074969119168197225245279318
selective451665000107347999144187218237280324
intubation486765000107196896145196239267286335385
and/or5279650001074291142176221248
one‑lung3047664001074897141170190237285335
ventilation3404664001074084132159177196237264283331379
in3805664001071967
patients3894664001075091118137181229256291
who42076640010765113162
were43916640010765108135178
otherwise4591664001074775123167194262281314358
functionally4971664001072372120161191210258307347366385425
capable54186640010740813047678001074990139158201
of3264678001074771
lung3350678001071966113162
resection.3527678001072769102145186215234281329344
Indications3887678001071966115133172213239258305353385
for428867800107237096
acute4400678001074180127155197
VV4612678001074695
ECMO‑assisted4723678001074292161221250290323356373405434475525
surgery5263678001073480106153196222264
were30476920010765108135178
surgical3248692001073481107156174215256275
interventions354769200107186693136162206249297324343391440473
in4043692001071967
patients4134692001074991118137181229256290
with4448692001076584112160
respiratory4632692001072770103152172198240267313340383
failure503969200107246684103150177220
(ARDS)5282692001072476122180222245
including3047706001071966107125172221240287337
empyema,34007060010743117166205248321362378
lung3794706001071966114163
abscess,3973706001074190124164206240273289
bronchopleural4278706001075076123171212259307357377420468494535554
fistula,484970600107234375104152170211226
and5092706001074088137
massive52467060010773114147180198239282
air‑leak304772000107415986110131174215253
and3319720001074189139
lung3477720001071967115164
necrosis.3661720001074892134160207241259292308
KORESPONDENČNÍ48575700974397142182222265321375429469522569622642
ADRESA1144757009749102146187227276
AUTORA:143775700974999140194239290307
1761758009518
Článek330775700984768110156198240
přijat35647570098467697119160189
redakcí:376975700982971119160201237258277
9.406375800953951
12.41327580095397286
2024;423675800953977115151164
Článek441775700984768110156198240
přijat46747570098467697119160189
k4879757009841
tisku:49367570098284983125172191
15.51437580095397386
1.524775800953949
2025531475800953977114154
Ivan4857700095175491134
Cundrle63677000954687130175198216256
Jr.,909770009528526377
M.D.,100477000956277131143157
Ph.D.,11797700095408297150163177
Ivan.Cundrle@seznam.cz13737700095175491134149194235278323346364404462493532566609646712727763797815
Cit.40237690098476897118
zkr:415776900983678108128
Anest430377000954790130160186
intenziv45077700095165983122165198215252
Med.4777770009562102147161
2025;36(1):34-38495677000953977115154166206245266302318331371411437473512