Evidence map›Paper›PMID 41787992›Full record

ArticleThoracic cancer2026

Treatment of Central Airway Stenosis With Self-Expanding Y Stents: Easy and Innovative Technique With a Single Wire Guide.

Gaetana Messina, Giuseppe Vicario, Davide Gerardo Pica, Massimo Ciaravola, Francesca Capasso, Vincenzo Di Filippo, Beatrice Leonardi, Riccardo Vinciguerra, Rosa Mirra, Maria Antonietta Puca and 5 more

Abstract read
In one paragraph

Article in Thoracic cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Gaetana MessinaThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.ORCID https://orcid.org/0000-0001-5129-7201
Giuseppe VicarioThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Davide Gerardo PicaThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.ORCID https://orcid.org/0000-0002-8203-6562
Massimo CiaravolaAnesthesiology Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Francesca CapassoThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Vincenzo Di FilippoThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Beatrice LeonardiThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.ORCID https://orcid.org/0000-0002-5595-6849
Riccardo VinciguerraThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Rosa MirraThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Maria Antonietta PucaThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Noemi Maria GiorgianoThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.ORCID https://orcid.org/0009-0006-4029-5837
Anna D'AgostinoThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Martina RobustelliThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Giovanni VicidominiThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.
Alfonso FiorelliThoracic Surgery Unit, Università Degli Studi della Campania "Luigi Vanvitelli", Napoli, Campania, Italy.ORCID https://orcid.org/0000-0002-0628-613X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCentral airway obstruction (CAO) involves the narrowing of the trachea, carina, and main bronchi. This study describes a technique for placing a self-expanding metallic Y-stent using a single guidewire for the palliative management of inoperable malignant stenosis near the carina, evaluating its efficacy and safety. MATERIALS AND

methodsWe conducted a retrospective analysis of all patients with severe malignant carinal stenosis who were treated with a customized self-expanding metallic Y-stent at our institution between January 2020 and December 2024. In all cases, the left bronchial branch of the stent was positioned using the Seldinger technique with a single guidewire.

resultsThe single-guidewire Seldinger technique simplified the procedure, resulting in a significantly shorter stent placement time (38 vs. 51 min; p < 0.0001) and reduced general anesthesia time (53 vs. 71 min; p ≤ 0.0001) compared to a double-guidewire approach. Furthermore, it minimized the number of required X-ray exposures (0-1 vs. 4-5 images; p < 0.0001) and lowered the risk of guidewire dislodgement. No immediate complications were reported.

conclusionThe placement of a self-expanding Y-stent using a single left-sided guidewire is an efficacious and feasible approach for maintaining airway patency in patients with severe malignant carinal stenosis, offering a simpler and more efficient procedural alternative.

Indexed as

Airway ObstructionSelf Expandable Metallic StentsAgedConstriction, PathologicFemaleHumansMaleMiddle AgedRetrospective Studiesairway obstructionbronchial stenosisbronchoscopyendoluminal diseaseexternal compressionlung cancermediastinal tumorsself‐expanding metallic Y‐stents (SEMS)

Identifiers

PMID41787992
PMCPMC12963928

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.