https://observatorio.fm.usp.br/handle/OPI/835
DC Field | Value | Language |
---|---|---|
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | RUANO, R. | - |
dc.contributor.author | YOSHISAKI, C. T. | - |
dc.contributor.author | SILVA, M. M. da | - |
dc.contributor.author | CECCON, M. E. J. | - |
dc.contributor.author | GRASI, M. S. | - |
dc.contributor.author | TANNURI, U. | - |
dc.contributor.author | ZUGAIB, M. | - |
dc.date.accessioned | 2013-07-30T15:09:02Z | - |
dc.date.available | 2013-07-30T15:09:02Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | ULTRASOUND IN OBSTETRICS & GYNECOLOGY, v.39, n.1, p.20-27, 2012 | - |
dc.identifier.issn | 0960-7692 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/835 | - |
dc.description.abstract | Objective Severe pulmonary hypoplasia and pulmonary arterial hypertension are associated with reduced survival in congenital diaphragmatic hernia (CDH). We aimed to determine whether fetal endoscopic tracheal occlusion (FETO) improves survival in cases of severe isolated CDH. Methods Between May 2008 and July 2010, patients whose fetuses had severe isolated CDH (lung-to-head ratio < 1.0, liver herniation into the thoracic cavity and no other detectable anomalies) were assigned randomly to FETO or to no fetal intervention (controls). FETO was performed under maternal epidural anesthesia supplemented with fetal intramuscular anesthesia. Tracheal balloon placement was achieved with ultrasound guidance and fetoscopy between 26 and 30 weeks of gestation. All cases that underwent FETO were delivered by the EXIT procedure. Postnatal therapy was the same for both treated fetuses and controls. The primary outcome was survival to 6 months of age. Other maternal and neonatal outcomes were also evaluated. Results Twenty patients were enrolled randomly to FETO and 21 patients to standard postnatal management. The mean gestational age at randomization was similar in both groups (P = 0.83). Delivery occurred at 35.6 +/- 2.4 weeks in the FETO group and at 37.4 +/- 1.9 weeks in the controls (P < 0.01). In the intention-to-treat analysis, 10/20 (50.0%) infants in the FETO group survived, while 1/21 (4.8%) controls survived (relative risk (RR), 10.5 (95% CI, 1.5-74.7), P < 0.01). In the receivedtreatment analysis, 10/19 (52.6%) infants in the FETO group and 1/19 (5.3%) controls survived (RR, 10.0 (95% CI, 1.4-70.6) P < 0.01). Conclusion FETO improves neonatal survival in cases with isolated severe CDH. | - |
dc.description.sponsorship | CNPq (Conselho Nacional de Desenvolvimento de Pesquisa e Tecnologia do Brasil) [SISNEP CAAE - 0926.0.015.000-07] | - |
dc.language.iso | eng | - |
dc.publisher | WILEY-BLACKWELL | - |
dc.relation.ispartof | Ultrasound in Obstetrics & Gynecology | - |
dc.rights | restrictedAccess | - |
dc.subject | congenital diaphragmatic hernia | - |
dc.subject | fetal abnormalities | - |
dc.subject | fetal surgery | - |
dc.subject | FETO | - |
dc.subject | fetoscopy | - |
dc.subject | prenatal diagnosis | - |
dc.subject | pulmonary hypertension | - |
dc.subject | pulmonary hypoplasia | - |
dc.subject.other | head circumference ratio | - |
dc.subject.other | lung-volume | - |
dc.subject.other | survival | - |
dc.subject.other | prediction | - |
dc.subject.other | fetuses | - |
dc.subject.other | doppler | - |
dc.subject.other | area | - |
dc.title | A randomized controlled trial of fetal endoscopic tracheal occlusion versus postnatal management of severe isolated congenital diaphragmatic hernia | - |
dc.type | article | - |
dc.rights.holder | Copyright WILEY-BLACKWELL | - |
dc.identifier.doi | 10.1002/uog.10142 | - |
dc.identifier.pmid | 22170862 | - |
dc.subject.wos | Acoustics | - |
dc.subject.wos | Obstetrics & Gynecology | - |
dc.subject.wos | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | GRASI, M. S.:Univ Sao Paulo, Fac Med, Dept Neonatol, Sao Paulo, Brazil | - |
hcfmusp.description.beginpage | 20 | - |
hcfmusp.description.endpage | 27 | - |
hcfmusp.description.issue | 1 | - |
hcfmusp.description.volume | 39 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000298475600005 | - |
hcfmusp.origem.id | 2-s2.0-84555172118 | - |
hcfmusp.publisher.city | MALDEN | - |
hcfmusp.publisher.country | USA | - |
hcfmusp.relation.reference | Balassy C, 2010, EUR RADIOL, V20, P829, DOI 10.1007/s00330-009-1633-x | - |
hcfmusp.relation.reference | Beck C, 2008, ARCH GYNECOL OBSTET, V277, P55, DOI 10.1007/s00404-007-0407-4 | - |
hcfmusp.relation.reference | Benachi A, 1997, PRENATAL DIAG, V17, P629, DOI 10.1002/(SICI)1097-0223(199707)17:7<629::AID-PD120>3.3.CO;2-D | - |
hcfmusp.relation.reference | Betremieux P, 2002, PRENATAL DIAG, V22, P988, DOI 10.1002/pd.454 | - |
hcfmusp.relation.reference | Bratu I, 2001, J PEDIATR SURG, V36, P739, DOI 10.1053/jpsu.2001.22950 | - |
hcfmusp.relation.reference | Bretelle F, 2007, J PEDIATR SURG, V42, P1312, DOI 10.1016/jpedsurg.2007.04.003 | - |
hcfmusp.relation.reference | BRETELLE F, 2007, J PEDIATR SURG, V42, P1313 | - |
hcfmusp.relation.reference | Cabar Fabio Roberto, 2008, Rev Bras Ginecol Obstet, V30, P87, DOI 10.1590/S0100-72032008000200007 | - |
hcfmusp.relation.reference | Cannie M, 2008, ULTRASOUND OBST GYN, V32, P627, DOI 10.1002/uog.6146 | - |
hcfmusp.relation.reference | Cannie MM, 2009, RADIOLOGY, V252, P526, DOI 10.1148/radiol.2522081955 | - |
hcfmusp.relation.reference | Cruz-Martinez R, 2010, ULTRASOUND OBST GYN, V35, P572, DOI 10.1002/uog.7593 | - |
hcfmusp.relation.reference | Cruz-Martinez R, 2009, FETAL DIAGN THER, V26, P137, DOI 10.1159/000254485 | - |
hcfmusp.relation.reference | Datin-Dorriere Valerie, 2008, J Intensive Care Med, V23, P128, DOI 10.1177/0885066607312885 | - |
hcfmusp.relation.reference | Deprest J, 2004, ULTRASOUND OBST GYN, V24, P121, DOI 10.1002/uog.1711 | - |
hcfmusp.relation.reference | Deprest J, 2010, PEDIATR RADIOL, V40, P670, DOI 10.1007/s00247-010-1579-9 | - |
hcfmusp.relation.reference | Greenough Anne, 2005, Paediatr Respir Rev, V6, P111, DOI 10.1016/j.prrv.2005.03.005 | - |
hcfmusp.relation.reference | Harrison MR, 2003, NEW ENGL J MED, V349, P1916, DOI 10.1056/NEJMoa035005 | - |
hcfmusp.relation.reference | Hedrick HL, 2007, AM J OBSTET GYNECOL, V197 | - |
hcfmusp.relation.reference | Jani J, 2007, ULTRASOUND OBST GYN, V30, P67, DOI 10.1002/uog.4052 | - |
hcfmusp.relation.reference | Jani JC, 2009, ULTRASOUND OBST GYN, V34, P304, DOI 10.1002/uog.6450 | - |
hcfmusp.relation.reference | Jani JC, 2007, ULTRASOUND OBST GYN, V30, P850, DOI 10.1002/uog.5167 | - |
hcfmusp.relation.reference | Lipshutz GS, 1997, J PEDIATR SURG, V32, P1634, DOI 10.1016/S0022-3468(97)90471-1 | - |
hcfmusp.relation.reference | Mahieu-Caputo D, 2001, BRIT J OBSTET GYNAEC, V108, P863, DOI 10.1111/j.1471-0528.2001.00184.x | - |
hcfmusp.relation.reference | Metkus AP, 1996, J PEDIATR SURG, V31, P148, DOI 10.1016/S0022-3468(96)90338-3 | - |
hcfmusp.relation.reference | Metkus AP, 1996, J PEDIATR SURG, V31, P151 | - |
hcfmusp.relation.reference | Mitanchez D, 2008, ARCH PEDIATRIE, V15, P1320, DOI 10.1016/j.arcped.2008.04.034 | - |
hcfmusp.relation.reference | Mitchell IC, 2008, J PEDIATR SURG, V43, P2161, DOI 10.1016/j.jpedsurg.2008.08.040 | - |
hcfmusp.relation.reference | Morini F, 2006, EUR J PEDIATR SURG, V16, P385, DOI 10.1055/s-2006-924751 | - |
hcfmusp.relation.reference | Mugford M, 2008, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD001340.pub2 | - |
hcfmusp.relation.reference | Peralta CFA, 2008, AM J OBSTET GYNECOL, V198, p60e1 | - |
hcfmusp.relation.reference | Reiss I, 2010, Neonatology, V98, P354, DOI 10.1159/000320622 | - |
hcfmusp.relation.reference | Roofthooft MTR, 2007, ANN THORAC SURG, V83, P1446, DOI 10.1016/j.athoracsur.2006.11.001 | - |
hcfmusp.relation.reference | Ruano R, 2008, AM J ROENTGENOL, V190, P1216, DOI 10.2214/AJR.07.3078 | - |
hcfmusp.relation.reference | Ruano R, 2008, J PEDIATR SURG, V43, P606, DOI [10.1016/j.jpedsurg.2007.12.003, 10.1016/j.jpedsura.2007.12.003] | - |
hcfmusp.relation.reference | Ruano Rodrigo, 2006, Clinics (Sao Paulo), V61, P197 | - |
hcfmusp.relation.reference | Ruano R, 2006, AM J OBSTET GYNECOL, V195, P1720, DOI 10.1016/j.ajog.2006.05.010 | - |
hcfmusp.relation.reference | Ruano R, 2004, BJOG-INT J OBSTET GY, V111, P423, DOI 10.1111/j.1471-0528.2004.00100.x | - |
hcfmusp.relation.reference | Ruano R, 2007, J ULTRAS MED, V26, P105 | - |
hcfmusp.relation.reference | Ruano R, 2011, FETAL DIAGN THER, V29, P64, DOI 10.1159/000311944 | - |
hcfmusp.relation.reference | Schulz Kenneth F, 2010, J Pharmacol Pharmacother, V1, P100, DOI 10.4103/0976-500X.72352 | - |
dc.description.index | MEDLINE | - |
hcfmusp.remissive.sponsorship | CNPq | - |
hcfmusp.lim.ref | 2012 | - |
hcfmusp.citation.scopus | 208 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MDR 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 - LIM/30 Artigos e Materiais de Revistas Científicas - LIM/36 Artigos e Materiais de Revistas Científicas - LIM/57 |
File | Description | Size | Format | |
---|---|---|---|---|
art_RUANO_A_randomized_controlled_trial_of_fetal_endoscopic_tracheal_2012.PDF Restricted Access | publishedVersion (Portuguese) | 195.96 kB | Adobe PDF | View/Open Request a copy |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.