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Caption: Figure 2: PET-CT showing (a) lymph node metastasis near the bifurcation of trachea and lumbar vertebral metastasis before sorafenib rechallenge therapy and (b) that the metastatic lesion vanished 5 months after the rechallenge therapy.
After passing the endoscope into trachea apical bronchus and bifurcation of trachea i.e.
Some stud- ies have demonstrated that the tracheal stimulus is an important contributor leading to HDSR during FFB intubation.1318 In our study FFB was also in- serted till the bifurcation of trachea was seen which consequentially required all above mentioned ma- neuvers thus leading to increased TTI.