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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

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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  • Medientyp: E-Artikel
  • Titel: 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
  • Beteiligte: 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
  • Erschienen: S. Karger AG, 2009
  • Erschienen in: Fetal Diagnosis and Therapy
  • Sprache: Englisch
  • DOI: 10.1159/000200017
  • ISSN: 1015-3837; 1421-9964
  • Schlagwörter: Obstetrics and Gynecology ; Radiology, Nuclear Medicine and imaging ; Embryology ; General Medicine ; Pediatrics, Perinatology and Child Health
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:p>&lt;i&gt;Objective:&lt;/i&gt; To alleviate congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia by percutaneous minimally-invasive fetoscopic tracheal decompression using laser. &lt;i&gt;Methods:&lt;/i&gt; 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. &lt;i&gt;Results:&lt;/i&gt; 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. &lt;i&gt;Conclusions:&lt;/i&gt; Percutaneous minimally-invasive fetoscopic decompression of the fetal trachea via a single trocar is feasible in human fetuses with CHAOS from laryngeal atresia.</jats:p>