Document Detail

Feto-amniotic shunting -- experience of six centres.
MedLine Citation:
PMID:  15852177     Owner:  NLM     Status:  MEDLINE    
AIM: Foeto-amniotic shunting is an ultrasound-guided, therapeutic intervention for drainage of persistent intracavital fluid retention in severely affected foetuses with a high risk of mortality. In order to weigh up the comparatively high risk of intervention against the possible benefit, we evaluated the value of different indications, the complication rate and the time span of drains in situ. PATIENTS AND METHODS: We made a survey of all level III ultrasound centres of German-speaking countries from 1993 to 2001. Six level III centres returned the questionnaire: forty-seven foeto-amniotic shunting procedures were performed in 30 foetuses [megacystis in 18 foetuses (three of these with urinary ascites), hydrothorax in eight foetuses, hydronephrosis in two foetuses, cystic adenomatoid malformation of the lung in one foetus, ovarian cyst in one foetus]. RESULTS: The median gestational age at time of shunting was 23.5 (range 16 - 33) weeks, at time of delivery 35 (range 23 - 41) weeks. The median time span of drains in situ was 19 (range 0 - 170) days. Altogether 18 of 30 foetuses (60 %) had a benefit of foeto-amniotic shunting. CONCLUSION: The best possible selection of pregnancies which might profit from foeto-amniotic shunting is required. The decisive criteria are the underlying defect as well as the severity and progression of the disorder.
W Blaicher; M Häusler; U Gembruch; R Bollmann; R Terinde; A Rempen; J Deutinger; G Bernaschek
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Ultraschall in der Medizin (Stuttgart, Germany : 1980)     Volume:  26     ISSN:  0172-4614     ISO Abbreviation:  Ultraschall Med     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-26     Completed Date:  2005-07-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303585     Medline TA:  Ultraschall Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  134-41     Citation Subset:  IM    
Department of Gynaecology and Obstetrics, Ludwig Boltzmann Institute for fetal development and behavior, University Hospital Vienna.
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MeSH Terms
Amniotic Fluid / ultrasonography*
Drainage / methods*
Fetal Diseases / ultrasonography*
Hydronephrosis / ultrasonography
Pregnancy Outcome
Treatment Outcome
Ultrasonography, Prenatal / methods*

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