Prediction of chronic lung disease, survival and need for ECMO therapy in infants with congenital diaphragmatic hernia: Additional value of fetal MRI measurements?

Schaible, Thomas; Büsing, Karen A.; Felix, Janine F.; Hop, Wim C. J.; Zahn, Katrin; Wessel, Lucas; Siemer, J.; Neff, K. W.; Tibboel, Dick; Reiss, Irwin K M; Hout, L. van den

doi:10.1016/j.ejrad.2011.02.060

Cited by 56 publications

(33 citation statements)

References 21 publications

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“…also demonstrated MRI‐determined lung volume, expressed as percent predicted lung volume (PPLV), to be a better predictor of survival compared with the O/E‐LHR or the LHR. Schaible et al . did not find that the addition of MRI determined O/E‐TLV improved prediction of early mortality over O/E‐LHR alone.…”

Section: Discussionmentioning

confidence: 99%

Comparison of ultrasound and magnetic resonance imaging parameters in predicting survival in isolated left‐sided congenital diaphragmatic hernia

Bebbington

Victoria

Danzer

et al. 2014

Ultrasound in Obstet & Gyne

102

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Section: Discussionmentioning

confidence: 99%

Comparison of ultrasound and magnetic resonance imaging parameters in predicting survival in isolated left‐sided congenital diaphragmatic hernia

Bebbington

Victoria

Danzer

et al. 2014

Ultrasound in Obstet & Gyne

102

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“…Examples of such predictive methods currently exist, but will likely will need to be center specific for optimal utility(25–27). Further application of prenatal imaging in order to quantify liver in left chest as several authors have suggested, could also potentially aid in predicting risk for ECMO.…”

Section: Discussionmentioning

confidence: 99%

Long-term Maturation of Congenital Diaphragmatic Hernia Treatment Results

et al. 2013

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Objective To assess the impact of varying approaches to CDH repair timing on survival and need for ECMO when controlled for anatomic and physiologic disease severity in a large consecutive series of CDH patients. Summary Background Data Our publication of 60 consecutive CDH patients in 1999 showed that survival is significantly improved by limiting lung inflation pressures and eliminating hyperventilation. Methods We retrospectively reviewed 268 consecutive CDH patients, combining 208 new patients with the 60 previously reported. Management and ventilator strategy were highly consistent throughout. Varying approaches to surgical timing were applied as the series matured. Results Patients with anatomically less-severe left liver-down CDH had significantly increased need for ECMO if repaired in the first 48 hours, while patients with more-severe left liver-up CDH survived at a higher rate when repair was performed before ECMO. Overall survival of 268 patients was 78%. For those without lethal associated anomalies, survival was 88%. Of these, 99% of left liver-down CDH survived, 91% of right CDH survived. and 76% of left liver-up CDH survived. Conclusions This study shows that patients with anatomically less severe CDH benefit from delayed surgery while patients with anatomically more severe CDH may benefit from a more aggressive surgical approach. These findings show that patients respond differently across the CDH anatomic severity spectrum, and lay the foundation for the development of risk specific treatment protocols for patients with CDH.

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“…For the analysis of prediction of survival and ECMO necessity, the observed to expected fetal lung volume was used 37 . Although the fetal lung volume increases with gestational age, the observed to expected fetal lung volume is independent of it.…”

Section: Observed To Expected Fetal Lung Volumementioning

confidence: 99%

Prediction of Mortality and the Need for Neonatal Extracorporeal Membrane Oxygenation Therapy by 3‐Dimensional Sonography and Magnetic Resonance Imaging in Fetuses With Congenital Diaphragmatic Hernias

Kehl

Becker

Eckert

et al. 2013

J of Ultrasound Medicine

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Prediction of chronic lung disease, survival and need for ECMO therapy in infants with congenital diaphragmatic hernia: Additional value of fetal MRI measurements?

Cited by 56 publications

References 21 publications

Comparison of ultrasound and magnetic resonance imaging parameters in predicting survival in isolated left‐sided congenital diaphragmatic hernia

Comparison of ultrasound and magnetic resonance imaging parameters in predicting survival in isolated left‐sided congenital diaphragmatic hernia

Long-term Maturation of Congenital Diaphragmatic Hernia Treatment Results

Prediction of Mortality and the Need for Neonatal Extracorporeal Membrane Oxygenation Therapy by 3‐Dimensional Sonography and Magnetic Resonance Imaging in Fetuses With Congenital Diaphragmatic Hernias

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