{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:20:23Z","timestamp":1783164023626,"version":"3.54.6"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Central airway obstruction (CAO) involves the narrowing of the trachea, carina, and main bronchi. This study describes a technique for placing a self\u2010expanding metallic Y\u2010stent using a single guidewire for the palliative management of inoperable malignant stenosis near the carina, evaluating its efficacy and safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of all patients with severe malignant carinal stenosis who were treated with a customized self\u2010expanding metallic Y\u2010stent 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The single\u2010guidewire Seldinger technique simplified the procedure, resulting in a significantly shorter stent placement time (38 vs. 51\u2009min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and reduced general anesthesia time (53 vs. 71\u2009min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.0001) compared to a double\u2010guidewire approach. Furthermore, it minimized the number of required X\u2010ray exposures (0\u20131 vs. 4\u20135 images;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and lowered the risk of guidewire dislodgement. No immediate complications were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The placement of a self\u2010expanding Y\u2010stent using a single left\u2010sided 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1759-7714.70197","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:13:50Z","timestamp":1772968430000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Central Airway Stenosis With Self\u2010Expanding Y Stents: Easy and Innovative Technique With a Single Wire Guide"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5129-7201","authenticated-orcid":false,"given":"Gaetana","family":"Messina","sequence":"first","affiliation":[{"name":"Thoracic Surgery Unit Universit\u00e0 Degli Studi della Campania \u201cLuigi Vanvitelli\u201d, Napoli  Campania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Vicario","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Universit\u00e0 Degli Studi della Campania \u201cLuigi Vanvitelli\u201d, Napoli  Campania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8203-6562","authenticated-orcid":false,"given":"Davide Gerardo","family":"Pica","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Universit\u00e0 Degli Studi della Campania \u201cLuigi Vanvitelli\u201d, Napoli  Campania 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