1. Antenatal Management of Bronchopulmonary Sequestration by Intrafetal Vascular Laser Ablation under Ultrasound Control: Narrative Review of the Literature and Report of Three Cases.
- Author
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Grozdeva, Lora, Senat, Marie-Victoire, Vandewynckele, Nada, Fouquet, Virginie, Castaigne, Vanina, Le Bouar, Gwenaelle, Benachi, Alexandra, and Bouchghoul, Hanane
- Subjects
LASER ablation ,LITERATURE reviews ,NEONATAL death ,CARDIAC output ,HYDROPS fetalis ,EDEMA ,STILLBIRTH ,MEDICAL lasers ,GESTATIONAL age ,FETAL diseases ,RESPIRATORY organ abnormalities ,FETAL ultrasonic imaging - Abstract
Objective: The objective of this study is to assess the effectiveness and safety of intrafetal vascular laser ablation (VLA) for fetuses with bronchopulmonary sequestration (BPS) with hydrops.Methods: First, we present 3 cases of fetuses with BPS and hydrops treated by VLA. Second, we aimed to conduct a narrative review to identify all reported cases of fetuses with BPS treated by intrafetal VLA.Results: The review of the literature identified 41 fetuses treated by VLA for BPS with hydrops. The median gestational age of the VLA was 27+0 weeks' gestation [25+0-31+0] with an associated procedure at the same time in 43% of the cases (pleuroamniotic shunt, thoracentesis, and amniodrainage). A second procedure was required in 25% of cases for residual flow in the feeding vessel. No stillbirth or neonatal death was reported. The complications reported were a fetal thoracic hematoma complicated by fetal anemia and 4 preterm deliveries with a rate of 9%.Conclusion: VLA of the feeding vessel can be an effective treatment but is not without complications. In cases demonstrating cardiac output failure, intrafetal VLA should be considered as a treatment for BPS. [ABSTRACT FROM AUTHOR]- Published
- 2021
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