FŒTOSCOPIE Archives - PACT-NECKER

SUCCESSFUL IN UTERO TRANSESOPHAGEAL PACING FOR SEVERE DRUG-RESISTANT TACHYARRHYTHMIA

Par Administrateur|2019-08-31T10:40:07+01:0031 janvier, 2019|Catégories : CHIRURGIE FOETALE|Mots-clés : FŒTOSCOPIE, IN UTERO TRANSESOPHAGEAL PACING, MÉDECINE FŒTALE|0 commentaire

Successful in utero transesophageal pacing for severe drug-resistant tachyarrhythmia
Stirnemann, Julien et al.
American Journal of Obstetrics & Gynecology , Volume 219 , Issue 4 , 320 – 325

Sustained fetal tachyarrhythmia can evolve into a life-threatening condition in 40% of cases when hydrops develops, with a 27% risk of perinatal death. Several antiarrhythmic drugs can be given solely or in combination to the mother to achieve therapeutic transplacental concentrations. Therapeutic failure could lead to progressive cardiac insufficiency and restrict therapeutic options to either elective delivery or direct fetal administration of antiarrhythmic drugs, which may increase the risk of death. We report for the first time successful fetal transesophageal pacing to treat a hydropic fetus with drug-resistant tachyarrhythmia.

PRETERM PREMATURE RUPTURE OF MEMBRANES IS A COLLATERAL EFFECT OF IMPROVEMENT IN PERINATAL OUTCOMES FOLLOWING FETOSCOPIC COAGULATION OF CHORIONIC VESSELS FOR TWIN-TWIN TRANSFUSION SYNDROME: A RETROSPECTIVE OBSERVATIONAL STUDY OF 1092 CASES

Preterm premature rupture of membranes is a collateral effect of improvement in perinatal outcomes following fetoscopic coagulation of chorionic vessels for twin-twin transfusion syndrome: a retrospective observational study of 1092 cases

J Stirnemann, F Djaafri, A Kim, Mediouni, L Bussieres, E Spaggiari, C Veluppillai, A Lapillonne, E Kermorvant, J·F Magny, C Colmant, Y Ville

BJOG https://doi.org/10.1111/1471-0528.15147

Preterm premature rupture of membranes (PPROM) is a leading complication following fetoscop ic laser coagulation (FLC) for twin-twi n transfusion syndrome (TTTS). Our primary objective was to describe the impact of improvements in surgical technique on survival and rate of PPROM over time .. The secondary objective was to assess potential risk factors for PPROM.