OP06.19: Efficacy of thoracoamniotic shunting with double‐basket catheters for fetal pleural effusion

• DOI: 10.1002/uog.3197
• Publication Date: 2006-08-31T17:55:44Z
• Authors: K. Baba; A. Ueyama; M. Usui; Y. Murayama; M. Saitoh; H. Seki; S. Takeda
• Keywords: Chylothorax; Shunting; Pleural disease; Hydrops fetalis; Pleurodesis; Pleurisy

Large fetal pleural effusion is a life-threatening abnormal finding. The objective was to study the efficacy of thoracoamniotic shunting with double-basket catheters by reviewing course and respiratory conditions neonates. Thirteen fetuses referred our hospital since 2003 2005 were reviewed. Abnormal findings in thorax noticed between 18 37 weeks gestation. Final diagnosises chylothorax 11 cases, chest wall mesenchymal hamartoma pulmonary sequestration effusion. Ten hydrops and/or ascites underwent under guidance two-dimensional ultrasound 21 32 gestation except one at All cases examined two- three-dimensional once or twice week. No fetus showed heart rate immediately after procedure. Pleural reduced dramatically within week case. Two including non-effective case delivered before resolved died birth due insufficiency. Eight (80%) shunted 10 almost without plural survived. neonates (25%) survived 8 hypertension. Thoracoamniotic did not undergo three because small amount They all but two (67%) Shunting could be performed safely using effective for massive prevent hypoplastic lung hypertension birth. survival large 80% study.