Vesicoamniotic shunting for fetal megacystis in the first trimester with a Somatex
LUTO
Megacystis
Posterior urethral valve
Vesicoamniotic shunt
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
02
02
2020
accepted:
08
05
2020
pubmed:
26
5
2020
medline:
27
10
2020
entrez:
26
5
2020
Statut:
ppublish
Résumé
The objective was to evaluate the feasibility of vesicoamniotic shunting (VAS) in the first trimester with the Somatex Retrospective cohort study of all VAS before 14 weeks at two tertiary fetal medicine centres from 2015 to 2018 using a Somatex Ten VAS were performed during the study period in male fetuses at a median GA of 13.3 (12.6-13.9) weeks. There were two terminations of pregnancy (TOP) due to additional malformations and one IUFD. Overall there were four shunt dislocations (40%); three of those between 25-30 weeks GA. Seven neonates were born alive at a median GA of 35.1 weeks (31.0-38.9). There was one neonatal death due to pulmonary hypoplasia. Neonatal kidney function was normal in the six neonates surviving the neonatal period. After exclusion of TOP, perinatal survival was 75%, and 85.7% if only live-born children were considered. VAS in the first trimester is feasible with the Somatex
Identifiants
pubmed: 32449061
doi: 10.1007/s00404-020-05598-z
pii: 10.1007/s00404-020-05598-z
pmc: PMC7266802
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
133-140Références
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