Percutaneous Fetoscopic Laser Decompression of Congenital High Airway Obstruction Syndrome (CHAOS) from Laryngeal Atresia via a Single Trocar – Current Technical Constraints and Potential Solutions for Future Interventions
Objective: To alleviate congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia by percutaneous minimally-invasive fetoscopic tracheal decompression using laser. Methods: The procedure was performed via one trocar under general maternofetal anesthesia in a human fetus with CHAOS f...
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| Veröffentlicht in: | Fetal diagnosis and therapy 2009-01, Vol.25 (1), p.67-71 |
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| creator | Kohl, Thomas Van de Vondel, Patricia Stressig, Rüdiger Wartenberg, Hans C. Heep, Axel Keiner, Sabine Müller, Andreas Franz, Axel Fröhlich, Susanne Willinek, Winfried Gembruch, Ulrich |
| description | Objective: To alleviate congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia by percutaneous minimally-invasive fetoscopic tracheal decompression using laser. Methods: The procedure was performed via one trocar under general maternofetal anesthesia in a human fetus with CHAOS from laryngeal atresia at 21+6 weeks of gestation. Results: Normalization of the lung-heart size relationship was observed within days after the procedure. The fetus was delivered by ex utero intrapartum treatment (EXIT) in order to perform a tracheotomy at 31+1 weeks of gestation and survived hospital treatment to discharge. Conclusions: Percutaneous minimally-invasive fetoscopic decompression of the fetal trachea via a single trocar is feasible in human fetuses with CHAOS from laryngeal atresia. |
| doi_str_mv | 10.1159/000200017 |
| format | Article |
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Methods: The procedure was performed via one trocar under general maternofetal anesthesia in a human fetus with CHAOS from laryngeal atresia at 21+6 weeks of gestation. Results: Normalization of the lung-heart size relationship was observed within days after the procedure. The fetus was delivered by ex utero intrapartum treatment (EXIT) in order to perform a tracheotomy at 31+1 weeks of gestation and survived hospital treatment to discharge. Conclusions: Percutaneous minimally-invasive fetoscopic decompression of the fetal trachea via a single trocar is feasible in human fetuses with CHAOS from laryngeal atresia.</description><identifier>ISSN: 1015-3837</identifier><identifier>EISSN: 1421-9964</identifier><identifier>DOI: 10.1159/000200017</identifier><identifier>PMID: 19202341</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Airway Obstruction - congenital ; Airway Obstruction - diagnostic imaging ; Airway Obstruction - etiology ; Airway Obstruction - surgery ; Biological and medical sciences ; Case Report ; Chronic obstructive pulmonary disease, asthma ; Decompression, Surgical - methods ; Delivery. Postpartum. Lactation ; Female ; Fetal Diseases - etiology ; Fetal Diseases - surgery ; Fetoscopy - methods ; Fetus - surgery ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Laryngeal Diseases - complications ; Laryngeal Diseases - surgery ; Laser Therapy - instrumentation ; Laser Therapy - methods ; Medical sciences ; Pneumology ; Pregnancy ; Surgical Instruments ; Syndrome ; Trachea - diagnostic imaging ; Trachea - surgery ; Ultrasonography, Prenatal</subject><ispartof>Fetal diagnosis and therapy, 2009-01, Vol.25 (1), p.67-71</ispartof><rights>2009 S. Karger AG, Basel</rights><rights>2009 INIST-CNRS</rights><rights>(c) 2009 S. Karger AG, Basel.</rights><rights>Copyright (c) 2009 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-771d65a4f96a2727e279ef52f4af71fb234a4f04acc067ad57e16b5031e8b8e93</citedby><cites>FETCH-LOGICAL-c427t-771d65a4f96a2727e279ef52f4af71fb234a4f04acc067ad57e16b5031e8b8e93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,2430,27926,27927</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21830218$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19202341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kohl, Thomas</creatorcontrib><creatorcontrib>Van de Vondel, Patricia</creatorcontrib><creatorcontrib>Stressig, Rüdiger</creatorcontrib><creatorcontrib>Wartenberg, Hans C.</creatorcontrib><creatorcontrib>Heep, Axel</creatorcontrib><creatorcontrib>Keiner, Sabine</creatorcontrib><creatorcontrib>Müller, Andreas</creatorcontrib><creatorcontrib>Franz, Axel</creatorcontrib><creatorcontrib>Fröhlich, Susanne</creatorcontrib><creatorcontrib>Willinek, Winfried</creatorcontrib><creatorcontrib>Gembruch, Ulrich</creatorcontrib><title>Percutaneous Fetoscopic Laser Decompression of Congenital High Airway Obstruction Syndrome (CHAOS) from Laryngeal Atresia via a Single Trocar – Current Technical Constraints and Potential Solutions for Future Interventions</title><title>Fetal diagnosis and therapy</title><addtitle>Fetal Diagn Ther</addtitle><description>Objective: To alleviate congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia by percutaneous minimally-invasive fetoscopic tracheal decompression using laser. Methods: The procedure was performed via one trocar under general maternofetal anesthesia in a human fetus with CHAOS from laryngeal atresia at 21+6 weeks of gestation. Results: Normalization of the lung-heart size relationship was observed within days after the procedure. The fetus was delivered by ex utero intrapartum treatment (EXIT) in order to perform a tracheotomy at 31+1 weeks of gestation and survived hospital treatment to discharge. Conclusions: Percutaneous minimally-invasive fetoscopic decompression of the fetal trachea via a single trocar is feasible in human fetuses with CHAOS from laryngeal atresia.</description><subject>Adult</subject><subject>Airway Obstruction - congenital</subject><subject>Airway Obstruction - diagnostic imaging</subject><subject>Airway Obstruction - etiology</subject><subject>Airway Obstruction - surgery</subject><subject>Biological and medical sciences</subject><subject>Case Report</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Decompression, Surgical - methods</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Fetal Diseases - etiology</subject><subject>Fetal Diseases - surgery</subject><subject>Fetoscopy - methods</subject><subject>Fetus - surgery</subject><subject>General aspects</subject><subject>Gynecology. Andrology. 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Methods: The procedure was performed via one trocar under general maternofetal anesthesia in a human fetus with CHAOS from laryngeal atresia at 21+6 weeks of gestation. Results: Normalization of the lung-heart size relationship was observed within days after the procedure. The fetus was delivered by ex utero intrapartum treatment (EXIT) in order to perform a tracheotomy at 31+1 weeks of gestation and survived hospital treatment to discharge. Conclusions: Percutaneous minimally-invasive fetoscopic decompression of the fetal trachea via a single trocar is feasible in human fetuses with CHAOS from laryngeal atresia.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>19202341</pmid><doi>10.1159/000200017</doi><tpages>5</tpages></addata></record> |
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| ispartof | Fetal diagnosis and therapy, 2009-01, Vol.25 (1), p.67-71 |
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| language | eng |
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| source | Karger e-journals Complete Collection; Karger Journal Archive Collection; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Airway Obstruction - congenital Airway Obstruction - diagnostic imaging Airway Obstruction - etiology Airway Obstruction - surgery Biological and medical sciences Case Report Chronic obstructive pulmonary disease, asthma Decompression, Surgical - methods Delivery. Postpartum. Lactation Female Fetal Diseases - etiology Fetal Diseases - surgery Fetoscopy - methods Fetus - surgery General aspects Gynecology. Andrology. Obstetrics Humans Laryngeal Diseases - complications Laryngeal Diseases - surgery Laser Therapy - instrumentation Laser Therapy - methods Medical sciences Pneumology Pregnancy Surgical Instruments Syndrome Trachea - diagnostic imaging Trachea - surgery Ultrasonography, Prenatal |
| title | Percutaneous Fetoscopic Laser Decompression of Congenital High Airway Obstruction Syndrome (CHAOS) from Laryngeal Atresia via a Single Trocar – Current Technical Constraints and Potential Solutions for Future Interventions |
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