{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T23:01:52Z","timestamp":1784761312660,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Expiratory central airway collapse (ECAC) comprising excessive central airway collapse (EDAC) and tracheobronchomalacia. Treatment is challenging for severe cases that are not candidates for surgical management. We report a case of severe ECAC successfully managed with continuous positive airway pressure (CPAP) therapy. A 75\u2010year\u2010old female patient status post right pneumonectomy, presented with chronic cough. Dynamic bronchoscopy evaluation showed severe EDAC which improved with intraprocedural noninvasive positive pressure (NIPPV) therapy. Due to patients' comorbidities, she was not a candidate to surgical tracheobronchoplasty. Therefore, we attempted pneumatic stenting with long\u2010term CPAP therapy resulting in improvement of symptoms and functional capacity. The long\u2010term efficacy of pneumatic stenting has not been clearly established yet. Literature review of management of ECAC with NIPPV consist primarily of case reports and there is only one clinical trial being conducted to assess the efficacy of CPAP therapy in ECAC. While NIPPV arises as a sufficient alternative for management of severe ECAC, larger scale studies are needed to prove the real efficacy of NIPPV in this setting.<\/jats:p>","DOI":"10.1002\/rcr2.1367","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T04:48:43Z","timestamp":1715230123000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Long\u2010term pneumatic stenting with positive expiratory pressure therapy for severe expiratory central airway collapse"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3361-5107","authenticated-orcid":false,"given":"Rodrigo","family":"Funes\u2010Ferrada","sequence":"first","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanna","family":"Barrios\u2010Ruiz","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1384-6761","authenticated-orcid":false,"given":"Alejandra","family":"Yu Lee\u2010Mateus","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret M.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3847-4127","authenticated-orcid":false,"given":"Sebastian","family":"Fernandez\u2010Bussy","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Abia\u2010Trujillo","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2020.03.004"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2013.05.003"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1676571"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2017.11.015"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2018.09.009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000918"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.02.001"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000842"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000053"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/jovs-21-5"},{"issue":"5","key":"e_1_2_8_12_1","first-page":"595","article-title":"Bronchoscopy during noninvasive ventilation: indications and technique","volume":"55","author":"Murgu SD","year":"2010","journal-title":"Respir Care"},{"key":"e_1_2_8_13_1","article-title":"Pneumatic stenting in the surgical candidacy assessment for cough variant expiratory central airway collapse","volume":"45","author":"Barrios\u2010Ruiz A","year":"2023","journal-title":"Respir Med Case Rep"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-22-1804"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.4046\/trd.2015.78.4.455"},{"key":"e_1_2_8_16_1","unstructured":"MajidA.Effect of CPAP on 6\u2010minute walk test outcomes inpatients with ECAC. NCT042176032020. ClinicalTrials.gov.https:\/\/clinicaltrials.gov\/ct2\/show\/NCT04217603."}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.1367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T00:15:16Z","timestamp":1716941716000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.1367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1002\/rcr2.1367"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.1367","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"2024-02-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e01367"}}