Percutaneous laser ablation under ultrasound guidance for fetal hyperechogenic microcystic lung lesions with hydrops: a single center cohort and a literature review
R Ruano, MM da Silva, EMA Salustiano… - Prenatal …, 2012 - Wiley Online Library
Prenatal diagnosis, 2012•Wiley Online Library
Objective To evaluate the perinatal outcomes in hydropic fetuses with congenital microcystic
pulmonary lesions that underwent percutaneous, invasive, laser therapy. Method This
retrospective study reviews the literature and our experience between 2004 and 2010.
Characteristics of the cystic lung lesions, liquor volume (presence of polyhydramnios or not),
localization of ablation (vascular vs interstitial) and gestational age at which the procedure
was performed were related to outcome (survival). Results In total, 16 fetuses with …
pulmonary lesions that underwent percutaneous, invasive, laser therapy. Method This
retrospective study reviews the literature and our experience between 2004 and 2010.
Characteristics of the cystic lung lesions, liquor volume (presence of polyhydramnios or not),
localization of ablation (vascular vs interstitial) and gestational age at which the procedure
was performed were related to outcome (survival). Results In total, 16 fetuses with …
Objective
To evaluate the perinatal outcomes in hydropic fetuses with congenital microcystic pulmonary lesions that underwent percutaneous, invasive, laser therapy.
Method
This retrospective study reviews the literature and our experience between 2004 and 2010. Characteristics of the cystic lung lesions, liquor volume (presence of polyhydramnios or not), localization of ablation (vascular vs interstitial) and gestational age at which the procedure was performed were related to outcome (survival).
Results
In total, 16 fetuses with congenital lung lesions underwent ‘invasive’ percutaneous laser ablation, seven performed in our center and nine published cases. Survival rate was higher in fetuses with a subsequent postnatal diagnosis of bronchopulmonary sequestration (87.5%) compared with congenital adenomatoid malformation (28.6%; p = 0.04). The technique of vascular ablation was more successful (100%) than interstitial ablation (25.0%, p < 0.01).
Conclusion
Percutaneous vascular laser ablation seems to be effective for bronchopulmonary sequestration in hydropic fetuses. Outcomes were worst following interstitial ablation for microcystic congenital adenomatoid with hydrops. © 2012 John Wiley & Sons, Ltd.
Wiley Online Library以上显示的是最相近的搜索结果。 查看全部搜索结果