Table 1. Outcome of fetuses with intrauterine treatment of congenital pulmonary airway malformation.
Case | Hydrops | Type of the lesion* | GA (week) at intervention | Type of Intervention | resolution | complication | GA (week) delivery | outcome |
---|---|---|---|---|---|---|---|---|
1 | no | I | 24 | 1 cyst puncture | yes | - | 39 | alive |
instillation of OK-432 | ||||||||
2 | yes | I | 21,22,23, | 5 cyst punctures | yes | dislocation of the shunt in 29 weeks | 38 | alive |
24,27 | 1 thoraco-amniotic shunt | no reintervention neccessary | ||||||
3 | yes | I | 22,23,24 | 3 cyst punctures | no | IUFT | 32 | IUFT |
3 instillation of OK-432 | ||||||||
2 thoraco-amniotic shunts | ||||||||
4 | yes | I | 25,28,29,30, | 2 cyst punctures | yes | dislocation of 4 shunts | 36 | alive |
32,33,36 | 7 thoraco-amniotic shunts | |||||||
5 | yes | I | 25,28 | 2 thoraco-amniotic shunts | yes | dislocation of shunt 1 | 28 | neonatal death |
fetal distress after 2nd. intervention, emergency cesarean section | ||||||||
6 | yes | I | 22 | 1 thoraco-amniotic shunt | yes | Spontaneous abortion | 22 | IUFT |
7 | yes | I | 28 | 4 cyst punctures | yes | triplet pregnancy, cesarean section at 31 weeks | 31 | neonatal death |
1 thoraco-amniotic shunt | ||||||||
8 | yes | I | 26 | 1 thoraco-amniotic shunt | yes | - | 39 | alive |
9 | no | II | 22 | maternal steroids | yes | - | 38 | alive |
* Classification of Stocker [11],
GA = gestational age, IUFT = intrauterine death