BibTex RIS Kaynak Göster

Thoracoamniotic Shunt Procedure: Review of 10 cases at a Tertiary Setting

Yıl 2014, Cilt: 11 Sayı: 4, 136 - 139, 01.10.2014

Öz

Aim: To review the perinatal outcome in fetal thoracoamniotic shunt procedures.Material and Methods: Thoracoamniotic shunt-treated cases were screened retrospectively between 2008-2013. The current status of the parents of the newborn was learned by phone interview.Results: The study included 10 patients in whom thoracoamniotic shunt was inserted. Fetal diseases requiring thoracoamniotic shunt procedure were primary pleural effusion in 9 90% cases and type 1 congenital cystic adenomatoid malformation CCAM in 1 10 % case. In 2 cases 20% the procedure was repeated due to dislodgement of the shunt. Fetal loss was observed in 1 case after the procedure. 3 fetuses died in the neonatal period and infancy. There were four cases of preterm delivery and 2 cases of fetal hydrops during follow-up. It was learned that neonate with CCAM had been operated at 1st week postpartum and there is currently no additional problem. No complications occurred in the remaining cases in the newborn period.Conclusion: Thoracoamniotic shunt procedure might have a positive influence on perinatal outcomes in fetuses with hydrothorax. Therefore, the family should be offered this procedure as an intrauterine fetal treatment option in fetuses with hydrothorax.

Kaynakça

  • 1. Longaker MT, Laberge JM, Dansereau J, Langer JC, Crombleholme TM, et.al. Primary fetal hydrothorax: natural history and management. J Pediatr Surg 1989; 24: 573–576.
  • 2. Aubard Y, Derouineau I, Aubard V, Chalifour V, Preux PM: Primary fetal hydrothorax: a literature review and proposed antenatal clinical strategy. Fetal Diagn Ther 1998; 13: 325– 333.
  • 3. Castillo RA, Devoe LD, Falls G, Holzman GB, Hadi HA, Fadel HE: Pleural effusions and pulmonary hypoplasia. Am J Obstet Gynecol 1987; 157: 1252–1255.
  • 4. Klam S, Bigras JL, Hudon L: Predicting outcome in primary fetal hydrothorax. Fetal Diagn Ther 2005; 20: 366–370.
  • 5. Peters RE, Redwine FO & Cruikshank DP. Congenital bilateral chylothorax. Antepartum diagnosis and successful intrauterine surgical management. JAMA 1982; 248: 1360–1361.
  • 6. Cardwell MS. Aspiration of fetal pleural effusions or ascites may improve neonatal resuscitation. South Med J 1996; 89: 177–178.
  • 7. Klam S, Bigras JL & Hudon L. Predicting outcome in primary fetal hydrothorax. Fetal Diagn Ther 2005; 20: 366–370.
  • 8. Rodeck CH, Fisk NM, Fraser DI et al. Long-term in utero drainage of fetal hydrothorax. N Engl J Med1988; 319: 1135–1138.
  • 9. Rustico MA, Lanna M, Coviello D, Smoleniec J, Nicolini U: Fetal pleural effusion. Prenat Diagn 2007; 27: 793–799.
  • 10. Deurloo KL, Devlieger R, Lopriore E, et al. Isolated fetal hydrothorax with hydrops: a systematic review of prenatal treatment options. Prenat Diagn 2007;27:893–9.
  • 11. Yinon Y, Kelly E, Ryan G. Fetal pleural effusions. Best Pract Res Clin Obstet
  • 12. Gynaecol. 2008;2277-96. 12- Rustico MA, Lanna M, Coviello D, et al. Fetal pleural effusion. Prenat Diagn 2007;27:793–9.
  • 13. Smith RP, Illanes S, Denbow ML, Soothill PW. Outcome of fetal pleural effusions treated by thoracoamniotic shunting. Ultrasound Obstet Gynecol 2005;26:63–6.
  • 14. Picone O, Benachi A, Mandelbrot L, et al. Thoracoamniotic shunting for fetal pleural effusions with hydrops. Am J Obstet Gynecol 2004;191: 2047–50.
  • 15. Laberge JM, Flageole H, Pugash D, Khalife S, Blair G, Filiatrault D, Russo P, Lees G, Wilson RD. Outcome of the prenatally diagnosed congenital cystic adenomatoid lung malformation: a Canadian experience. Fetal Diagn Ther 2001; 16: 178–186.
  • 16. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977; 8: 155–171.
  • 17. Adzick NS, Harrison MR, Glick PL, Golbus MS, Anderson RL, Mahony BS, Callen PW, Hirsch JH, Luthy DA, Filly RA, et al. Fetal cystic adenomatoid malformation: prenatal diagnosis and natural history. J Pediatr Surg 1985; 20: 483–488.
  • 18. Schrey S, Kelly EN, Langer JC, Davies GA, Windrim R, Seaward PG, Ryan G. Fetal thoracoamniotic shunting for large macrocystic congenital cystic adenomatoid malformations of the lung. Ultrasound Obstet Gynecol. 2012 ;39:515-20.
  • 19. Miyoshi T, Katsuragi S, Ikeda T, Horiuchi C, Kawasaki K, Kamiya CA, Sasaki Y, Osato K, Neki R, Yoshimatsu J. Retrospective review of thoracoamniotic shunting using a doublebasket catheter for fetal chylothorax. Fetal Diagn Ther. 2013;34:19-25.
  • 20. Gregory CL, Wright J, Schwarz J, Rakowski L. A review of fetal thoracoamniotic & vesicoamniotic shunt procedures. J Obstet Gynecol Neonatal Nurs. 2012 ;41:426-33.

Torakoamniyotik Şant Uygulaması: Tersiyer Bir Merkezde 10 Vakanın Gözden Geçirilmesi

Yıl 2014, Cilt: 11 Sayı: 4, 136 - 139, 01.10.2014

Öz

Amaç: Torakoamniyotik şant uygulanan vakaların gözden geçirilmesi ve perinatal sonuçlarının değerlendirilmesi.Gereç ve Yöntemler: 2008-2013 yıllarında torakoamniyotik şant işlem uygulanan vakalar retrospektif olarak tarandı. Yeni doğanların güncel durumları ise ailelerden sözel olarak öğrenildi.Bulgular: Çalışmaya torakoamniyotik şant uygulanan 10 vaka dahil edildi. İşlem öncesi 9 %90 vakaya primer plevral efüzyon, 1 %10 vakaya ise tip 1 konjenital kistik adenomatoid malformasyon ön tanısı kondu. 2 vakada %20 şantın yerinden çıkması nedeni ile tekrar torakoamniyotik şant uygulaması yapıldı. İşlem sonrası fetal kayıp 1 vakada izlendi. Neonatal ve infant dönemde 3 vaka kaybedildi. İşlem sonrası takipte 4 vakada preterm eylem ve doğum, 2 vakada ise fetal hidrops gelişti. Konjenital kistik adenomatoid malformasyon saptanan olgunun postpartum 1. haftada opere edildiği ve şu anda ek sorunu olmadığı öğrenildi. Diğer olgularda yeni doğanlar döneminde ve sonraki izlemlerinde ek komplikasyon saptanmadı.Sonuç: Fetal hidrotoraks varlığında torakoamniyotik şant uygulamasının perinatal sonuçlar üzerine olumlu etkisi olmaktadır. Bu nedenle aileye intrauterin fetal tedavi seçeneği olarak sunulmalıdır.

Kaynakça

  • 1. Longaker MT, Laberge JM, Dansereau J, Langer JC, Crombleholme TM, et.al. Primary fetal hydrothorax: natural history and management. J Pediatr Surg 1989; 24: 573–576.
  • 2. Aubard Y, Derouineau I, Aubard V, Chalifour V, Preux PM: Primary fetal hydrothorax: a literature review and proposed antenatal clinical strategy. Fetal Diagn Ther 1998; 13: 325– 333.
  • 3. Castillo RA, Devoe LD, Falls G, Holzman GB, Hadi HA, Fadel HE: Pleural effusions and pulmonary hypoplasia. Am J Obstet Gynecol 1987; 157: 1252–1255.
  • 4. Klam S, Bigras JL, Hudon L: Predicting outcome in primary fetal hydrothorax. Fetal Diagn Ther 2005; 20: 366–370.
  • 5. Peters RE, Redwine FO & Cruikshank DP. Congenital bilateral chylothorax. Antepartum diagnosis and successful intrauterine surgical management. JAMA 1982; 248: 1360–1361.
  • 6. Cardwell MS. Aspiration of fetal pleural effusions or ascites may improve neonatal resuscitation. South Med J 1996; 89: 177–178.
  • 7. Klam S, Bigras JL & Hudon L. Predicting outcome in primary fetal hydrothorax. Fetal Diagn Ther 2005; 20: 366–370.
  • 8. Rodeck CH, Fisk NM, Fraser DI et al. Long-term in utero drainage of fetal hydrothorax. N Engl J Med1988; 319: 1135–1138.
  • 9. Rustico MA, Lanna M, Coviello D, Smoleniec J, Nicolini U: Fetal pleural effusion. Prenat Diagn 2007; 27: 793–799.
  • 10. Deurloo KL, Devlieger R, Lopriore E, et al. Isolated fetal hydrothorax with hydrops: a systematic review of prenatal treatment options. Prenat Diagn 2007;27:893–9.
  • 11. Yinon Y, Kelly E, Ryan G. Fetal pleural effusions. Best Pract Res Clin Obstet
  • 12. Gynaecol. 2008;2277-96. 12- Rustico MA, Lanna M, Coviello D, et al. Fetal pleural effusion. Prenat Diagn 2007;27:793–9.
  • 13. Smith RP, Illanes S, Denbow ML, Soothill PW. Outcome of fetal pleural effusions treated by thoracoamniotic shunting. Ultrasound Obstet Gynecol 2005;26:63–6.
  • 14. Picone O, Benachi A, Mandelbrot L, et al. Thoracoamniotic shunting for fetal pleural effusions with hydrops. Am J Obstet Gynecol 2004;191: 2047–50.
  • 15. Laberge JM, Flageole H, Pugash D, Khalife S, Blair G, Filiatrault D, Russo P, Lees G, Wilson RD. Outcome of the prenatally diagnosed congenital cystic adenomatoid lung malformation: a Canadian experience. Fetal Diagn Ther 2001; 16: 178–186.
  • 16. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977; 8: 155–171.
  • 17. Adzick NS, Harrison MR, Glick PL, Golbus MS, Anderson RL, Mahony BS, Callen PW, Hirsch JH, Luthy DA, Filly RA, et al. Fetal cystic adenomatoid malformation: prenatal diagnosis and natural history. J Pediatr Surg 1985; 20: 483–488.
  • 18. Schrey S, Kelly EN, Langer JC, Davies GA, Windrim R, Seaward PG, Ryan G. Fetal thoracoamniotic shunting for large macrocystic congenital cystic adenomatoid malformations of the lung. Ultrasound Obstet Gynecol. 2012 ;39:515-20.
  • 19. Miyoshi T, Katsuragi S, Ikeda T, Horiuchi C, Kawasaki K, Kamiya CA, Sasaki Y, Osato K, Neki R, Yoshimatsu J. Retrospective review of thoracoamniotic shunting using a doublebasket catheter for fetal chylothorax. Fetal Diagn Ther. 2013;34:19-25.
  • 20. Gregory CL, Wright J, Schwarz J, Rakowski L. A review of fetal thoracoamniotic & vesicoamniotic shunt procedures. J Obstet Gynecol Neonatal Nurs. 2012 ;41:426-33.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Can Tekin İskender Bu kişi benim

Oktay Kaymak Bu kişi benim

Sabri Cavkaytar Bu kişi benim

Şevki Çelen Bu kişi benim

Turhan Çağlar Bu kişi benim

Nuri Danışman Bu kişi benim

Yayımlanma Tarihi 1 Ekim 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 11 Sayı: 4

Kaynak Göster

Vancouver İskender CT, Kaymak O, Cavkaytar S, Çelen Ş, Çağlar T, Danışman N. Torakoamniyotik Şant Uygulaması: Tersiyer Bir Merkezde 10 Vakanın Gözden Geçirilmesi. JGON. 2014;11(4):136-9.