Document Detail


Fetal cardiocentesis: a review of indications, risks, applications and technique.
MedLine Citation:
PMID:  18417985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To review the indications, applications and technique of fetal cardiocentesis. METHODS: Review of published case reports and case series of fetal cardiocentesis utilizing the PubMed search engine of the National Library of Medicine. RESULTS: Case reports and case series demonstrate that fetal cardiocentesis may be an alternative method by which to facilitate prenatal diagnosis, intravascular therapy, multifetal and selective fetal reduction and in utero therapy of congenital heart disease. However, procedure-associated risk is higher than with cordocentesis and may limit use of this procedure. CONCLUSIONS: Fetal cardiocentesis may be a reasonable option to obtain fetal intravascular access and facilitate therapeutic interventions when cordocentesis fails or is not feasible. However, expected benefit must clearly outweigh the procedure-associated risk.
Authors:
Albert P Sarno; R Douglas Wilson
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-02-20
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  23     ISSN:  1421-9964     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-17     Completed Date:  2008-06-04     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  237-44     Citation Subset:  IM    
Copyright Information:
Copyright 2008 S. Karger AG, Basel.
Affiliation:
Maternal-Fetal Medicine Section, Perinatal Center, St. Luke's Hospital and Health Network, Bethlehem, Pa 18015, USA. apsarno@earthlink.net
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MeSH Terms
Descriptor/Qualifier:
Blood Transfusion, Intrauterine / adverse effects,  methods
Female
Fetal Diseases / therapy
Fetal Heart* / surgery
Fetoscopy / adverse effects*,  methods*
Fetus / blood supply
Humans
Pregnancy
Prenatal Diagnosis / adverse effects*,  methods*
Risk Factors
Ultrasonography, Prenatal
Umbilical Veins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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