In:
Fetal Diagnosis and Therapy, S. Karger AG, Vol. 25, No. 1 ( 2009), p. 67-71
Abstract:
〈 i 〉 Objective: 〈 /i 〉 To alleviate congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia by percutaneous minimally-invasive fetoscopic tracheal decompression using laser. 〈 i 〉 Methods: 〈 /i 〉 The procedure was performed via one trocar under general maternofetal anesthesia in a human fetus with CHAOS from laryngeal atresia at 21+6 weeks of gestation. 〈 i 〉 Results: 〈 /i 〉 Normalization of the lung-heart size relationship was observed within days after the procedure. The fetus was delivered by ex utero intrapartum treatment (EXIT) in order to perform a tracheotomy at 31+1 weeks of gestation and survived hospital treatment to discharge. 〈 i 〉 Conclusions: 〈 /i 〉 Percutaneous minimally-invasive fetoscopic decompression of the fetal trachea via a single trocar is feasible in human fetuses with CHAOS from laryngeal atresia.
Type of Medium:
Online Resource
ISSN:
1015-3837
,
1421-9964
Language:
English
Publisher:
S. Karger AG
Publication Date:
2009
detail.hit.zdb_id:
1482292-1
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