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.

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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 The Annals of Thoracic Surgery Volume 87, Issue 3, Pages 971-974 (March 2009) DOI: 10.1016/j.athoracsur.2008.06.049 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Bronchoscopic views (A) before and (B–D) after Y-stent placement. (A) Squamous cell carcinoma involving right main stem bronchus. (B) Proximal end of Y-stent in right main stem bronchus. (C) Y-stent covering carina between right upper lobe bronchus (RUL) and bronchus intermedius (BI). (D) Distal end of Y-stent in right upper lobe bronchus. The Annals of Thoracic Surgery 2009 87, 971-974DOI: (10.1016/j.athoracsur.2008.06.049) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Bronchoscopic views (A) before and (B–D) after radiopaque Y-stent placement. (A) Endobronchial metastases from renal cell carcinoma obstructing right main stem bronchus. (B) Proximal end of Y-stent in right main stem bronchus. (C) Y-stent covering carina between right upper lobe bronchus (RUL) and bronchus intermedius (BI). (D) Distal end of Y-stent in right upper lobe bronchus. The Annals of Thoracic Surgery 2009 87, 971-974DOI: (10.1016/j.athoracsur.2008.06.049) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Chest roentgenogram after Y-stent (arrows) placement. The Annals of Thoracic Surgery 2009 87, 971-974DOI: (10.1016/j.athoracsur.2008.06.049) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Bronchoscopic views (A) before and (B–D) after Y-stent placement. (A) Extrinsic compression from the membranous portion of right main stem bronchus. (B) Proximal end of Y-stent in right main stem bronchus. (C) Y-stent placed on carina between right upper lobe bronchus (RUL) and bronchus intermedius (BI). (D) Distal end of Y-stent in re-established right upper lobe bronchus. The Annals of Thoracic Surgery 2009 87, 971-974DOI: (10.1016/j.athoracsur.2008.06.049) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions