Please use this identifier to cite or link to this item:
https://observatorio.fm.usp.br/handle/OPI/837
Title: | Percutaneous laser ablation under ultrasound guidance for fetal hyperechogenic microcystic lung lesions with hydrops: a single center cohort and a literature review |
Authors: | RUANO, Rodrigo; SILVA, Marcos Marques da; SALUSTIANO, Eugenia Maria Assuncao; KILBY, Mark David; TANNURI, Uenis; ZUGAIB, Marcelo |
Citation: | PRENATAL DIAGNOSIS, v.32, n.12, p.1127-1132, 2012 |
Abstract: | 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. (C) 2012 John Wiley & Sons, Ltd. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOG Artigos e Materiais de Revistas Científicas - FM/MPE Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - HC/ICr Artigos e Materiais de Revistas Científicas - HC/IPq Artigos e Materiais de Revistas Científicas - LIM/30 Artigos e Materiais de Revistas Científicas - LIM/57 |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
art_RUANO_Percutaneous_laser_ablation_under_ultrasound_guidance_for_fetal_2012.PDF Restricted Access | publishedVersion (English) | 130.03 kB | Adobe PDF | View/Open Request a copy |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.