Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct;52(10):1504-1508.
doi: 10.1007/s00595-022-02535-2. Epub 2022 Jun 26.

Thoracoscopic removal with fluoroscopic radiographic guidance of thoracoamniotic shunting catheters in newborns

Yuki Muta  1 , Akio Odaka  2 , Seiichiro Inoue  2 , Yuta Takeuchi  2 , Yoshifumi Beck  2
Affiliations

Thoracoscopic removal with fluoroscopic radiographic guidance of thoracoamniotic shunting catheters in newborns

Yuki Muta et al. Surg Today. 2022 Oct.

Erratum in

Abstract

Fetal thoracoamniotic shunting (TAS), which drains pleural effusion, is a treatment for severe primary fetal pleural effusion. While TAS is an effective treatment, its complications include bleeding and the catheter becoming dislodged, and also penetrating the thoracic cavity or chest wall. Catheters dislodged into the thoracic cavity in TAS can be removed by thoracoscopy. However, if there are adhesions in the thoracic cavity, finding the TAS catheter with a thoracoscope can be difficult. We used fluoroscopic radiography in addition to a thoracoscope to remove a TAS catheter in four patients. A 5-mm trocar was inserted into the thoracic cavity, and a 2.7-mm scope and 3-mm forceps were inserted into the trocar. We searched for TAS catheters using a thoracoscope and fluoroscopic radiography. If there are adhesions in the thoracic cavity and removing the TAS catheter is difficult, the combined use of a thoracoscope and fluoroscopic radiography may prove helpful.

Keywords: Fetal pleural effusion; Fluoroscopic radiography; Thoracoamniotic shunting.

PubMed Disclaimer

References

    1. Longaker MT, Laberge JM, Dansereau J, Langer JC, Crombleholme TM, Callen PW, et al. Primary fetal hydrothorax: natural history and management. J Pediatr Surg. 1989;24:573–6. - DOI
    1. Carr BD, Sampang L, Church JT, Mon RA, Gadepalli SK, Attar MA, et al. Fetal intervention for congenital chylothorax is associated with improved outcomes in early life. J Surg Res. 2018;231:361–5. https://doi.org/10.1016/j.jss.2018.05.082 . - DOI - PubMed
    1. Sago H, Wada S. Fetal therapies as standard prenatal care in Japan. Obstet Gynecol Sci. 2020;63:108–16. - DOI
    1. Rodeck CH, Fisk NM, Fraser DI, Nicolini U. Long-term in utero drainage of fetal hydrothorax. N Engl J Med. 1988;319:1135–8. - DOI
    1. Macchini F, Gentilino V, Morandi A, Leva E. Thoracoscopic removal of retained thoracoamniotic shunt catheters in newborns. J Laparoendosc Adv Surg Tech A. 2014;24:827–9. - DOI

LinkOut - more resources