Premium
Outcome of fetal pleural effusions treated by thoracoamniotic shunting
Author(s) -
Smith R. P.,
Illanes S.,
Denbow M. L.,
Soothill P. W.
Publication year - 2005
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.1883
Subject(s) - medicine , shunting , pleural effusion , fetus , surgery , effusion , pleural disease , hydrops fetalis , pregnancy , respiratory disease , lung , genetics , biology
Objective Fetal pleural effusions are uncommon, and treatment options for moderate or severe effusions include drainage and thoracoamniotic shunting. However, relatively few records of effusions treated by thoracoamniotic shunting are available in the literature, so our objective was to study the outcome after thoracoamniotic shunting in our unit. Methods We searched the database of our tertiary fetal medicine unit for all cases of fetal pleural effusion treated by thoracoamniotic shunting between 1997 and 2003 inclusive, and studied the maternal and neonatal records. Results Ninety‐two cases of fetal pleural effusion were studied, of which 21 had undergone a thoracoamniotic shunt. Sixteen of these 21 fetuses (76%) had associated hydrops, of which seven (44%) survived and, of the five (24%) without associated hydrops, three (60%) survived. There were two procedure‐related losses. No shunted cases were associated with abnormal karyotype or proven maternal infection, but it is probable that three cases had been caused by an underlying genetic syndrome. Conclusion The survival of fetuses with severe pleural effusions after thoracoamniotic shunting in this study was 48%. Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.