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Ann Thorac Surg 2009;87:971-974. doi:10.1016/j.athoracsur.2008.06.049
© 2009 The Society of Thoracic Surgeons

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How To Do It

Silicone Y-Stent Placement on the Carina Between Bronchus to the Right Upper Lobe and Bronchus Intermedius

Masahide Oki, MD, PhD*, Hideo Saka, MD, Chiyoe Kitagawa, MD, PhD, Yoshihito Kogure, MD

Department of Respiratory Medicine, Nagoya Medical Center, Nagoya, Japan

Accepted for publication June 16, 2008.

* Address correspondence to Dr Oki, Department of Respiratory Medicine, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya, 460-0001, Japan (Email: masahideo{at}aol.com).

Airway stenting using a silicone stent has become widespread for the palliation of airway stenosis. We often encounter patients with tumors involving the carina between the bronchus to the right upper lobe and bronchus intermedius. However, there has not been ideal stenting for such cases, especially to maintain the patency of the right upper lobe bronchus. We report three cases of malignant disease inserted with a Y-stent so that the bronchial limbs of the stent saddle the involved carina between the bronchus to the right upper lobe and bronchus intermedius. The respiratory symptoms improved immediately after the procedure.







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