In Utero Shunting for Fetal Hydrothorax, Ascites and Obstructive Uropathy: A Review of 7 Cases.
- Author:
Kook LEE
1
;
Jung Ihn YANG
;
Suk Young KIM
;
Byung Seok LEE
;
Min Soo PARK
;
Chul LEE
;
Seung Hoon CHOI
;
Seung Kang CHOI
Author Information
1. Perinatal Center, Department of Obstetrics and Gynecology, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. dr3431@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
In utero shunting;
Hydrothorax;
Ascites;
Obstructive uropathy;
Fetus
- MeSH:
Ascites*;
Catheters;
Female;
Fetal Death;
Fetus;
Hydrothorax*;
Mortality;
Obstetric Labor, Premature;
Placenta;
Pregnancy;
Survival Rate
- From:Korean Journal of Perinatology
2004;15(4):379-387
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the value of intrauterine shunting and to investigate the complication and outcome of these procedures for different fetal indications. METHODS: 7 fetuses who underwent 13 intrauterine catheter shunting from 1992 to 1997 were reviwed. The indications were uni-or bilateral hydrothorax in 4 cases, ascites in one case, and obstructive uropathy in 2 cases. RESULTS: Catheter migration occurred 6 times out of the 13 shunts (46%). Procedure related death rate was 23% (3/13); within 48 hours of pleuroamniotic shunting, amniorrhexis and coincidental abruptio placenta resulting in one fetal death and each one of amniorrhexis and premature labor resulting in 2 neonatal deaths. Pregnancy was terminated after shunting in one case of urethral atresia. Postnatal survival rate was 50% (3/6). CONCLUSION: A high complication rate requires the selection of cases for shunting. A large prospective controlled trial is needed to determine its value.
