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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Fetal thoracic and bladder shunts.

Stephanie Mann1, Mark P Johnson, R Douglas Wilson

  • 1Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. manns@email.chop.edu

Seminars in Fetal & Neonatal Medicine
|July 15, 2009
PubMed
Summary
This summary is machine-generated.

Prenatal shunting for fetal obstructive conditions, like bladder outlet obstruction or lung effusions, can significantly reduce newborn complications. This review covers the evaluation, techniques, and outcomes of vesicoamniotic and thoracoamniotic shunts.

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Transuterine Fetal Tracheal Occlusion Model in Mice
06:31

Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

Area of Science:

  • Perinatal medicine
  • Fetal surgery
  • Neonatal surgery

Background:

  • Congenital obstructive lesions of the fetal bladder and lung present significant risks to newborns.
  • These conditions can lead to severe morbidity and mortality if left untreated.

Purpose of the Study:

  • To review the indications for prenatal evaluation of fetal obstructive lesions.
  • To discuss the techniques and outcomes associated with prenatal shunting procedures.

Main Methods:

  • Review of literature on prenatal interventions for fetal obstructive uropathy and thoracic anomalies.
  • Analysis of outcomes following vesicoamniotic shunting for lower urinary tract obstruction.
  • Analysis of outcomes following thoracoamniotic shunting for congenital pleural effusions and macrocystic lung malformations.

Main Results:

  • Prenatal shunting can effectively decompress fetal obstructive conditions.
  • Vesicoamniotic shunts are indicated for lower urinary tract obstruction causing anhydramnios or renal damage.
  • Thoracoamniotic shunts are used for congenital pleural effusions and macrocystic congenital cystic adenomatoid malformations impacting fetal health.

Conclusions:

  • In-utero diversion via shunts improves fetal outcomes for obstructive bladder and lung conditions.
  • Careful patient selection, precise technique, and monitoring are crucial for successful prenatal shunting.
  • Prenatal shunting represents a vital intervention in managing complex fetal anomalies.