PP-124. Thoracoamniotic shunt placement in fetal pleural effusions and neonatal outcome

2010 ◽  
Vol 86 ◽  
pp. S67
Author(s):  
Atalay Demirel ◽  
Asuman Coban ◽  
Sukru Cekic ◽  
Zeynep Ince ◽  
Ibrahim Kalelioglu ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Pleural Effusions ◽  
Shunt Placement ◽  
Thoracoamniotic Shunt

scholarly journals Neonatal management and outcome after thoracoamniotic shunt placement for fetal hydrothorax

2017 ◽  
Vol 103 (3) ◽  
pp. F245-F249 ◽  
Author(s):  
Ruben S G M Witlox ◽  
Frans J C M Klumper ◽  
Arjan B te Pas ◽  
Erik W van Zwet ◽  
Dick Oepkes ◽  
...  
Keyword(s):  
Gestational Age ◽  
Neonatal Outcome ◽  
Rescue Therapy ◽  
High Frequency Ventilation ◽  
Short Term ◽  
Course Of Disease ◽  
Shunt Placement ◽  
Frequency Ventilation ◽  
Thoracoamniotic Shunt ◽  
Time Of Intervention

AimTo evaluate the short-term neonatal outcome after fetal thoracoamniotic shunt placement for isolated hydrothorax.MethodsRetrospective evaluation of infants with isolated hydrothorax treated with thoracoamniotic shunt placement at our fetal therapy centre between 2001 and 2016.ResultsIn total 48 fetuses were treated with a thoracoamniotic shunt. All fetuses had signs of hydrops at the time of intervention. Median (IQR) gestational age at shunting was 28.7 (24.4–31.3) weeks. Forty-one of 48 (85%) fetuses were born alive at a median (IQR) gestational age of 34.4 (31.1–36.7) weeks. In one child the course of disease after birth was unknown (this child was excluded from further analyses). After birth, 24/40 (60%) children had signs of pleural effusion and 12/40 (30%) needed a thoracic shunt for continuous pleural drainage. Twenty-one (53%) children required mechanical ventilation, of whom 13 (33%) needed high-frequency ventilation as rescue therapy. Overall 30/40 (75%) infants survived the neonatal period. Neonatal survival rate was significantly higher when infants were born ≥32 weeks’ gestation as compared with <32 weeks: 93% (26/28) versus 33% (4/12), p<0.01.ConclusionPostnatal course of hydropic fetuses treated with thoracoamniotic shunt for isolated hydrothorax is often complicated by respiratory failure and persistent pleural effusions. Neonatal survival is good provided delivery occurs at or after 32 weeks’ gestation.

scholarly journals 251: What to expect: Describing how prenatal courses differ after thoracoamniotic shunt placement with trisomy 21

2020 ◽  
Vol 222 (1) ◽  
pp. S173
Author(s):  
D'Angela S. Pitts ◽  
Jessica Smith ◽  
Jeannie Kreutzman ◽  
Deborah R. Berman
Keyword(s):  
Trisomy 21 ◽  
Shunt Placement ◽  
Thoracoamniotic Shunt

scholarly journals 488: Long-term outcomes in children treated by thoracoamniotic shunt for congenital pleural effusions with secondary hydrops

2018 ◽  
Vol 218 (1) ◽  
pp. S293
Author(s):  
Andrew H. Chon ◽  
Hikmat R. Chmait ◽  
Lisa M. Korst ◽  
Arlyn Llanes ◽  
Joseph G. Ouzounian ◽  
...  
Keyword(s):  
Pleural Effusions ◽  
Long Term Outcomes ◽  
Thoracoamniotic Shunt

scholarly journals Thoracoamniotic shunt placement for a right-sided congenital diaphragmatic hernia complicated by hydrops

2013 ◽  
Vol 1 (9) ◽  
pp. 281-283
Author(s):  
S. Christopher Derderian ◽  
Corey W. Iqbal ◽  
Juan M. Ganzalez ◽  
Tippi C. MacKenzie ◽  
Doug Miniati ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Shunt Placement ◽  
Thoracoamniotic Shunt

Long-Term Outcomes After Thoracoamniotic Shunt for Pleural Effusions With Secondary Hydrops

2019 ◽  
Vol 233 ◽  
pp. 304-309
Author(s):  
Andrew H. Chon ◽  
Hikmat R. Chmait ◽  
Lisa M. Korst ◽  
Arlyn Llanes ◽  
Joseph G. Ouzounian ◽  
...  
Keyword(s):  
Pleural Effusions ◽  
Long Term Outcomes ◽  
Thoracoamniotic Shunt

scholarly journals Successful Thoracoscopic Excision of Type 0 CPAM in a Newborn

2019 ◽  
Vol 8 (3) ◽  
pp. 25
Author(s):  
Antoinette Hu ◽  
Saxena Saurab ◽  
Armando Salim Munoz Abraham ◽  
Hector Osei ◽  
Madelyn Winkelmann ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Premature Ventricular Contractions ◽  
Shunt Placement ◽  
Pulmonary Airway ◽  
Thoracoamniotic Shunt

Thoracoscopic excision of a Type 0 congenital pulmonary airway malformations (CPAM) is rarely described in literature. A 1-day-old female neonate presented with prenatal diagnosis of right lung CPAM. Mother had undergone fetoscopic thoracoamniotic shunt placement which led to radiographic resolution of large CPAM cyst. Soon after delivery, the patient developed multiple premature ventricular contractions (PVCs) that were thought to be secondary to retained shunts. Thoracoscopic excision of CPAM performed.

Prenatal and Postnatal Management of Intrauterine Pleural Effusions Associated with Nonimmune Hydrops Fetalis

2020 ◽  
Author(s):  
Hatice S.Y. Cömert ◽  
Şebnem Kader ◽  
Mehmet A. Osmanağaoğlu ◽  
Dilan A. Ural ◽  
Ömer F. Yaşar ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Postnatal Period ◽  
Hydrops Fetalis ◽  
Pleural Effusions ◽  
Fetal Demise ◽  
Postnatal Management ◽  
Postnatal Mortality ◽  
Thoracoamniotic Shunt ◽  
Nonimmune Hydrops

Objective Nonimmune hydrops fetalis (NIHF) is defined as the accumulation of excess fluid in two or more body cavities in the fetus without blood incompatibility between mother and baby. We aimed to present our prenatal and postnatal management of intrauterine pleural effusions associated with NIHF. Study Design A total of 60 patients diagnosed with NIHF with intrauterine pleural effusion were analyzed retrospectively. Gestational age of delivery or fetal demise, the intrauterine treatment procedure including extrauterine intrapartum treatment (EXIT), chest tube, and medical treatment methods in fetuses with chylothorax analyzed. Results Thirty-nine patients (65%) were born alive between 26 and 38 weeks. A thoracoamniotic shunt was placed in one patient during the intrauterine period. Seven patients were placed bilaterally during the postnatal period, all without the umbilical cord being clamped during delivery. But 25 patients died within the first few days following birth. A total of four patients had chylothorax. Two patients who did not respond to medical treatment (somatostatin) were injected with thoracic local batticon and cured. A total of 14 patients were discharged with healing. Conclusion Cases of progressive prenatal pleural effusions associated with NIHF have a high risk for fetal and neonatal death. We think that extreme prematurity increases postnatal mortality because it negatively affects the development of the lung and heart. A close obstetric follow-up and a multidisciplinary approach are required for the management to be selected.

Squamous metaplasia in the cyst epithelium of type 1 congenital pulmonary airway malformation after thoracoamniotic shunt placement

2012 ◽  
Vol 43 (9) ◽  
pp. 1413-1417
Author(s):  
Kentaro Matsuoka ◽  
Satoshi Hayashi ◽  
Fumihiko Urano ◽  
Lihua J. Zhu ◽  
Hajime Okita ◽  
...  
Keyword(s):  
Squamous Metaplasia ◽  
Congenital Pulmonary Airway Malformation ◽  
Shunt Placement ◽  
Pulmonary Airway ◽  
Thoracoamniotic Shunt
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