Prenatal management of congenital diaphragmatic hernia.

Female Humans Infant, Newborn Pregnancy Fetoscopy Hernias, Diaphragmatic, Congenital / surgery Premature Birth Prospective Studies Trachea / surgery Randomized Controlled Trials as Topic
Congenital diaphragmatic hernia Fetal surgery Fetoscopic endoluminal tracheal occlusion randomized controlled trial Prematurity Preterm premature rupture of membranes Pulmonary hypoplasia

Journal

Seminars in fetal & neonatal medicine
ISSN: 1878-0946
Titre abrégé: Semin Fetal Neonatal Med
Pays: Netherlands
ID NLM: 101240003

Informations de publication

Date de publication:
12 2022
Historique:
pubmed: 2 12 2022
medline: 15 12 2022
entrez: 1 12 2022
Statut: ppublish

Résumé

Recently, two randomized controlled, prospective trials, the Tracheal Occlusion to Accelerate Lung Growth (TOTAL) trials, reported the outcomes on fetal endoluminal tracheal occlusion (FETO) for isolated left congenital diaphragmatic hernia (CDH). FETO significantly improved outcomes for severe hypoplasia. The effect in moderate cases, where the balloon was inserted later in pregnancy, did not reach significance. In a pooled analysis investigating the effect of the heterogeneity of the treatment effect by the time point of occlusion and severity, the difference may be explained by a difference in the duration of occlusion. Nevertheless, FETO carries a significant risk of preterm birth. The primary objective of this review is to provide an overview of the rationale for fetal intervention in CDH and the results of the randomized trials. The secondary objective is to discuss the technical aspects of FETO. Finally, recent developments of potential alternative fetal approaches will be highlighted.

Identifiants

DOI: 10.1016/j.siny.2022.101406 PMID: 36456433
pubmed: 36456433
pii: S1744-165X(22)00085-3
doi: 10.1016/j.siny.2022.101406
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

101406

Informations de copyright

Copyright © 2022 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors report no conflict of interest.

Auteurs

Enrico Danzer (E)

Stanford University School of Medicine and Lucile Packard Children's Hospital, Division of Neonatal and Developmental Medicine, Palo Alto, CA, USA; Division of Pediatric Surgery, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY, USA. Electronic address: edanzer@gmx.de.

Natalie E Rintoul (NE)

The Richard Wood Jr. Center for Fetal Diagnosis and Treatment and Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Krisa P van Meurs (KP)

Stanford University School of Medicine and Lucile Packard Children's Hospital, Division of Neonatal and Developmental Medicine, Palo Alto, CA, USA.

Jan Deprest (J)

Academic Department Development and Regeneration, Cluster Woman and Child, Biomedical Sciences, Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium; Center for Surgical Technologies, Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium; Department of Obstetrics and Gynecology, Fetal Medicine Unit, University Hospitals Leuven, Leuven, Belgium; Institute of Women's Health, University College London Hospitals, London, United Kingdom.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie obstétrique › Foetoscopie › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › États, signes et symptômes pathologiques › États anatomopathologiques › Hernie › Hernie interne › Hernie diaphragmatique › Hernies diaphragmatiques congénitales › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › Maladies urogénitales › Maladies de l'appareil urogénital féminin et complications de la grossesse › Complications de la grossesse › Complications du travail obstétrical › Travail obstétrical prématuré › Naissance prématurée › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › Appareil respiratoire › Trachée › Prenatal management of congenital diaphragmatic hernia.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études cliniques comme sujet › Essais cliniques comme sujet › Essais cliniques contrôlés comme sujet › Essais contrôlés randomisés comme sujet › Prenatal management of congenital diaphragmatic hernia.