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Therefore, less\u2010invasive strategies are needed. Six patients with lung cancer exhibiting malignant carinal involvement treated using the \u2018side\u2010by\u2010side\u2019 method of bilateral self\u2010expandable metallic stents using fibre\u2010optic bronchoscopy under topical anaesthesia were retrospectively investigated. The median procedure time was 29.5 min (range: 23\u201338), and the palliation of dyspnoea was achieved in all cases. The median survival time after intervention was 58.5 days (range: 23\u2013172). The cause of death was acute coronary syndrome in two patients, aspiration pneumonia in two, upper gastrointestinal perforation in one, and catheter\u2010related blood stream infection in one. 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