Successful treatment of primary fetal hydrothorax with hydrops by pleuroamniotic shunt placement

Hamada, Hiromi; Yasuoka, Mana; Urushigawa, Kuni; Watanabe, Hideki; Sohda, Satoshi; Kubo, Takeshi

doi:10.1007/s004040000128

Cited by 6 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All authors have used the Rocket-Kings double-pigtail catheter described by Rodeck et al (1988) or similar shunt techniques such as the Harrison double pigtailed shunt (Seeds and Bowes, 1986;Slotnich et al, 1990;Besher et al, 1993;Chan et al, 1996;Chao et al, 1998;Grisaru-Granovsky et al, 2000) or the doublebasket shunt (Hamada et al, 2001). The Rocket-Kings catheter is a pigtail silastic catheter that has a radioopaque stainless steel inserted at each end of the catheter.…”

Section: Discussionmentioning

confidence: 99%

Successful early in utero management of fetal hydrothorax in a twin pregnancy

2003

View full text Add to dashboard Cite

We present a case of dichorionic diamniotic twin pregnancy in which one of the fetuses was found to have a major pleural effusion at 15 weeks of gestation. A single-needle pleural fluid aspiration was performed at 15 and 16 weeks, but the fluid reaccumulated quickly after each procedure and at 16 weeks, the fetus was found to become progressively hydropic. A shunt was then successfully inserted at 17 weeks, which is the earliest gestation reported so far in the literature for such a procedure to treat isolated hydrothorax. Because we felt that the fetus would be too small for a classical double-pigtail pleuroamniotic shunt, we used a multilength double-pigtail bladder stent (Harrison drain; Cook; Spencer; Indiana; USA) via a 13-gauge echo tip trocar. This shunt could be used for both singleton and twin pregnancies presenting with fetal pleural effusion from as early as 16 to 17 weeks to prevent the development of fetal hydrops and polyhydramnios and subsequent premature delivery. Treatment at this stage of gestation would also minimize the risk of lung hypoplasia, which is the main clinical issue when shunts are inserted after 24 weeks.

show abstract

Section: Discussionmentioning

confidence: 99%

Successful early in utero management of fetal hydrothorax in a twin pregnancy

2003

View full text Add to dashboard Cite

show abstract

Isolated fetal hydrothorax with hydrops: a systematic review of prenatal treatment options

Deurloo

Devlieger²,

Lopriore

et al. 2007

Prenatal Diagnosis

View full text Add to dashboard Cite

The available literature consists exclusively of case reports and case series. This systematic review suggests that with prenatal intervention, perinatal survival rates around 63% are possible. There is a need for prospective, adequately controlled studies with long-term follow-up to determine the best treatment and more reliable outcome data in pregnancies complicated by fetal hydrothorax with hydrops.

show abstract