共 15 条
Fetoscopic Endotracheal Occlusion for Severe Isolated Diaphragmatic Hernia: Initial Experience from a Single Clinic in Brazil
被引:44
作者:

Andrioli Peralta, Cleisson Fabio
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h-index: 0
机构:
Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil

Sbragia, Lourenco
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h-index: 0
机构:
Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Surg, BR-13083970 Campinas, SP, Brazil Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil

Bennini, Joao Renato
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h-index: 0
机构:
Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil

Assuncao Braga, Angelica de Fatima
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机构:
Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Anesthesiol Sect, BR-13083970 Campinas, SP, Brazil Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil

Rousselet, Monique Sampaio
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Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Anesthesiol Sect, BR-13083970 Campinas, SP, Brazil Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil

Machado Rosa, Izilda Rodrigues
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h-index: 0
机构:
Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Div Neonatol, BR-13083970 Campinas, SP, Brazil Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil

Barini, Ricardo
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil
机构:
[1] Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Obstet & Gynecol, BR-13083970 Campinas, SP, Brazil
[2] Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Dept Surg, BR-13083970 Campinas, SP, Brazil
[3] Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Anesthesiol Sect, BR-13083970 Campinas, SP, Brazil
[4] Univ Estadual Campinas, Sch Med, Ctr Integral Assistance Womens Hlth, Div Neonatol, BR-13083970 Campinas, SP, Brazil
关键词:
Congenital diaphragmatic hernia;
Diaphragmatic hernia;
Endotracheal occlusion;
Fetoscopy;
Herniation;
Lung expansion;
Tracheal occlusion;
TO-HEAD RATIO;
TRACHEAL OCCLUSION;
LUNG AREA;
FETUSES;
SURVIVAL;
PREDICTION;
LIVER;
D O I:
10.1159/000314617
中图分类号:
R71 [妇产科学];
学科分类号:
100211 ;
摘要:
Objective: To report on the initial experience in a single Brazilian university clinic of the use of fetoscopic endotracheal occlusion (FETO) to treat severe isolated congenital diaphragmatic hernia (CDH). Methods: The inclusion criteria for FETO for this prospective study were isolated CDH and intrathoracic herniation of the liver, as well as the lung area to head circumference ratio (LHR)<1.0.The main variables evaluated were LHR and observed to expected (o/e) LHR before and after FETO, gestational age (GA) at FETO, reversal of tracheal occlusion (TO), and birth and discharge of a living child from the hospital. Results: Among 8 isolated left-sided CDH cases with normal karyotypes, the median LHR and o/e LHR before FETO were 0.7 (range: 0.6-0.9) and 0.27 (range: 0.22-0.32), respectively. The median LHR and o/e LHR after FETO were 1.2 (range: 0.9-1.8) and 0.45 (0.31-0.67), respectively. The median GA at FETO, reversal of TO and birth were 26.8 (range: 26-29), 32.5 (range: 31.0-34.0) and 37 weeks (range: 35-37), respectively. Neonatal survival at the time of hospital discharge was 50% (4/8). Conclusion: FETO is feasible at our institution and may help to improve postnatal survival of children with severe CDH in developing countries. Copyright (C) 2011 S. Karger AG, Basel
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页码:71 / 77
页数:7
相关论文
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机构: Katholieke Univ Leuven Hosp, Dept Obstet & Gynaecol, Div Woman & Child, B-3000 Louvain, Belgium

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机构: Erasmus MC, Dept Obstet & Gynaecol, Div Prenatal Diagnosis, NL-3015 GD Rotterdam, Netherlands

Van Dooren, MF
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机构: Erasmus MC, Dept Obstet & Gynaecol, Div Prenatal Diagnosis, NL-3015 GD Rotterdam, Netherlands

Wladimiroff, JW
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机构: Erasmus MC, Dept Obstet & Gynaecol, Div Prenatal Diagnosis, NL-3015 GD Rotterdam, Netherlands

Tibboel, D
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机构: Erasmus MC, Dept Obstet & Gynaecol, Div Prenatal Diagnosis, NL-3015 GD Rotterdam, Netherlands