Fetal laser therapy: applications in the management of fetal pathologies.

Détails

ID Serval
serval:BIB_4A5CBC86F0B1
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Fetal laser therapy: applications in the management of fetal pathologies.
Périodique
Prenatal Diagnosis
Auteur(s)
Mathis J., Raio L., Baud D.
ISSN
1097-0223 (Electronic)
ISSN-L
0197-3851
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
35
Numéro
7
Pages
623-636
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Fetoscopic coagulation of placental anastomoses is the treatment of choice for severe twin-to-twin transfusion syndrome. In the present day, fetal laser therapy is also used to treat amniotic bands, chorioangiomas, sacrococcygeal teratomas, lower urinary tract obstructions and chest masses, all of which will be reviewed in this article. Amniotic band syndrome can cause limb amputation by impairing downstream blood flow. Large chorioangiomas (>4 cm), sacrococcygeal teratomas or fetal hyperechoic lung lesions can lead to fetal compromise and hydrops by vascular steal phenomenon or compression. Renal damage, bladder dysfunction and lastly death because of pulmonary hypolasia may be the result of megacystis caused by a posterior urethral valve. The prognosis of these pathologies can be dismal, and therapy options are limited, which has brought fetal laser therapy to the forefront. Management options discussed here are laser release of amniotic bands, laser coagulation of the placental or fetal tumor feeding vessels and laser therapy by fetal cystoscopy. This review, largely based on case reports, does not intend to provide a level of evidence supporting laser therapy over other treatment options. Centralized evaluation by specialists using strict selection criteria and long-term follow-up of these rare cases are now needed to prove the value of endoscopic or ultrasound-guided laser therapy.
Mots-clé
Female, Fetal Diseases/surgery, Fetal Diseases/ultrasonography, Fetal Therapies/methods, Fetoscopy/methods, Humans, Lasers, Semiconductor/therapeutic use, Lasers, Solid-State/therapeutic use, Pregnancy, Ultrasonography, Interventional, Ultrasonography, Prenatal
Pubmed
Web of science
Open Access
Oui
Création de la notice
24/07/2015 17:02
Dernière modification de la notice
20/08/2019 13:58
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