Fetoscopic temporary tracheal occlusion by means of detachable balloon for congenital diaphragmatic hernia

被引:72
作者
Harrison, MR
Albanese, CT
Hawgood, SB
Farmer, DL
Farrell, JA
Sandberg, PL
Fillly, RA
机构
[1] Univ Calif San Francisco, Fetal Treatment Ctr, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Dept Surg, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Dept Pediat, San Francisco, CA 94143 USA
[4] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
[5] Univ Calif San Francisco, Dept Radiol, San Francisco, CA 94143 USA
关键词
congenital diaphragmatic hernia; fetal surgery; fetoscopy; tracheal occlusion; prenatal diagnosis;
D O I
10.1067/mob.2001.117344
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Occlusion of the fetal trachea blocks the egress of fetal lung fluid and stimulates the growth of hypoplastic lungs in fetuses with diaphragmatic hernia. Accomplishing temporary and reversible occlusion of the fetal trachea has proven difficult without invasive fetal surgery. Using simultaneous real-time ultrasonography and fetal bronchoscopy through a single uterine port, we placed a detachable balloon in the trachea of 2 fetuses with severe diaphragmatic hernia. In both fetuses the fetal lung subsequently enlarged, allowing survival after birth.
引用
收藏
页码:730 / 733
页数:4
相关论文
共 21 条
[1]  
ALBANESE CT, 1998, PEDIAT ENDOSURG INNO, V2, P47
[2]   Balloon tracheal occlusion for congenital diaphragmatic hernia: Experimental studies [J].
Chiba, T ;
Albanese, CT ;
Farmer, DL ;
Dowd, CF ;
Filly, RA ;
Machin, GA ;
Harrison, MR .
JOURNAL OF PEDIATRIC SURGERY, 2000, 35 (11) :1566-1570
[3]   Normal and hypoplastic fetal lungs: Volumetric assessment with prenatal single-shot rapid acquisition with relaxation enhancement MR imaging [J].
Coakley, FV ;
Lopoo, JB ;
Lu, Y ;
Hricak, H ;
Albanese, CT ;
Harrison, MR ;
Filly, RA .
RADIOLOGY, 2000, 216 (01) :107-111
[4]   Tracheoscopic endoluminal plugging using an inflatable device in the fetal lamb model [J].
Deprest, JAM ;
Evrard, VA ;
Van Ballaer, PP ;
Verbeken, E ;
Vandenberghe, K ;
Lerut, TE ;
Flageole, H .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1998, 81 (02) :165-169
[5]   EXPERIMENTAL FETAL TRACHEAL LIGATION REVERSES THE STRUCTURAL AND PHYSIOLOGICAL-EFFECTS OF PULMONARY HYPOPLASIA IN CONGENITAL DIAPHRAGMATIC-HERNIA [J].
DIFIORE, JW ;
FAUZA, DO ;
SLAVIN, R ;
PETERS, CA ;
FACKLER, JC ;
WILSON, JM .
JOURNAL OF PEDIATRIC SURGERY, 1994, 29 (02) :248-257
[6]   The plug-unplug sequence: An important step to achieve type II pneumocyte maturation in the fetal lamb model [J].
Flageole, H ;
Evrard, VA ;
Piedboeuf, B ;
Laberge, JM ;
Lerut, TE ;
Deprest, JAM .
JOURNAL OF PEDIATRIC SURGERY, 1998, 33 (02) :299-303
[7]   INFLUENCE OF UPPER RESPIRATORY-TRACT ON LIQUID FLOW TO AND FROM FETAL LUNGS [J].
HARDING, R ;
BOCKING, AD ;
SIGGER, JN .
JOURNAL OF APPLIED PHYSIOLOGY, 1986, 61 (01) :68-74
[8]   Correction of congenital diaphragmatic hernia in utero .8. Response of the hypoplastic lung to tracheal occlusion [J].
Harrison, MR ;
Adzick, NS ;
Flake, AW ;
VanderWall, KJ ;
Bealer, JF ;
Howell, LJ ;
Farrell, JA ;
Filly, RA ;
Rosen, MA ;
Sola, A ;
Goldberg, JD .
JOURNAL OF PEDIATRIC SURGERY, 1996, 31 (10) :1339-1348
[9]   Correction of congenital diaphragmatic hernia in utero IX: Fetuses with poor prognosis (liver herniation and low lung-to-head ratio) can be saved by fetoscopic temporary tracheal occlusion [J].
Harrison, MR ;
Mychaliska, GB ;
Albanese, CT ;
Jennings, RW ;
Farrell, JA ;
Hawgood, S ;
Sandberg, P ;
Levine, AH ;
Lobo, E ;
Filly, RA .
JOURNAL OF PEDIATRIC SURGERY, 1998, 33 (07) :1017-1022
[10]   A PROSPECTIVE-STUDY OF THE OUTCOME FOR FETUSES WITH DIAPHRAGMATIC-HERNIA [J].
HARRISON, MR ;
ADZICK, NS ;
ESTES, JM ;
HOWELL, LJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (05) :382-384