MARCOS MARQUES DA SILVA

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Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina - Médico

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  • article 45 Citação(ões) na Scopus
    Percutaneous laser ablation under ultrasound guidance for fetal hyperechogenic microcystic lung lesions with hydrops: a single center cohort and a literature review
    (2012) RUANO, Rodrigo; SILVA, Marcos Marques da; SALUSTIANO, Eugenia Maria Assuncao; KILBY, Mark David; TANNURI, Uenis; ZUGAIB, Marcelo
    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?