Four-dimensional ultrasonographic guidance of fetal tracheal occlusion in a congenital diaphragmatic hernia

Rodrigo Ruano, Maria Okumura, Marcelo Zugaib

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Intermittent fetal tracheal occlusion is considered one actual therapeutic option for a severe isolated congenital diaphragmatic hernia (CDH). To reduce maternal risks such as maternal hemorrhage, premature rupture of membranes, and preterm labor, minimally invasive procedures with extremely thin endoscopes have been introduced. The thinnest cannula used up to now was 3.3 mm with an endoscope of 1.2 mm. This procedure is usually guided by conventional 2-dimensional ultrasonography (2DUS). Recently, 4-dimensional ultrasonography (4DUS) was used to guide invasive obstetric procedures such as amniocentesis, chorionic villus sampling, and cordocentesis, as well as cauterization of an umbilical cord in twin-twin transfusion syndrome. The advantage of 4DUS maybe related to the reduction of procedure time and the ability to use thinner endoscopes. We report another possible contribution of 4DUS in the guidance of introduction of a thinner fetoscope (1.0 mm) into the fetal oral cavity.

Original languageEnglish (US)
Pages (from-to)105-109
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume26
Issue number1
DOIs
StatePublished - Jan 1 2007
Externally publishedYes

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Endoscopes
Ultrasonography
Fetoscopes
Cordocentesis
Mothers
Fetofetal Transfusion
Chorionic Villi Sampling
Cautery
Amniocentesis
Premature Obstetric Labor
Umbilical Cord
Obstetrics
Mouth
Rupture
Hemorrhage
Membranes
Congenital Diaphragmatic Hernias
Therapeutics

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Four-dimensional ultrasonographic guidance of fetal tracheal occlusion in a congenital diaphragmatic hernia. / Ruano, Rodrigo; Okumura, Maria; Zugaib, Marcelo.

In: Journal of Ultrasound in Medicine, Vol. 26, No. 1, 01.01.2007, p. 105-109.

Research output: Contribution to journalArticle

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