Fetal laser therapy: applications in the management of fetal pathologies

Prenatal Diagnosis
Jérôme MathisDavid Baud

Abstract

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 specialis...Continue Reading

References

May 1, 1988·American Journal of Diseases of Children·A GarzaJ Mulinare
Jul 1, 1995·Journal of Pediatric Surgery·T M CrombleholmeR J Connelly
Jan 1, 1995·American Journal of Obstetrics and Gynecology·R A QuinteroM I Evans
Jul 1, 1996·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R A QuinteroM I Evans
Jan 28, 1998·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·O P TadmorS Yagel
Jan 28, 1998·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R A QuinteroJ L Angel
Aug 26, 1999·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M C HaakF P Vandenbussche
Feb 5, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R FavreI Nisand
Sep 27, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E Jauniaux, R Ogle
Feb 13, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·W SepulvedaN Perez
Mar 3, 2001·American Journal of Obstetrics and Gynecology·B W PaekC T Albanese
Nov 29, 2001·Journal of Endourology·M HolmesM Rice
Feb 15, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·T K Pedersen, S G Thomsen
Feb 22, 2002·Prenatal Diagnosis·Yung Hang LamTony Wai Hung Shek
Jun 25, 2002·The Journal of Obstetrics and Gynaecology Research·Chanane WanapirakPharuhas Chanprapaph
Dec 31, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Tze Kin LauTse Ngong Leung
Apr 25, 2003·American Journal of Obstetrics and Gynecology·Peter W SoothillJane Tizard
Jun 5, 2003·Journal of Pediatric Surgery·Sundeep G KeswaniTimothy M Crombleholme
Sep 27, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Amarnath BhideBasky Thilaganathan
Nov 18, 2003·Reproductive Biology and Endocrinology : RB&E·Katherine G HamilSusan H Hall
Mar 16, 2004·Journal of Pediatric Surgery·Holly L HedrickN Scott Adzick
Apr 6, 2004·Journal of Pediatric Surgery·Mark DavenportK Nicolaides
Jan 1, 1997·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A K AsD Wijesinghe
Feb 3, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R RuanoM Dommergues
Mar 1, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E QuarelloY Ville
Jun 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Tze Kin LauTse Ngong Leung
Jun 28, 2005·Fetal Diagnosis and Therapy·Sundeep G KeswaniN Scott Adzick
Dec 20, 2005·Seminars in Perinatology·Alexandra C Spadola, Lynn L Simpson
Feb 17, 2006·Journal of Pediatric Surgery·Erica C MakinMark Davenport
Mar 9, 2006·American Journal of Obstetrics and Gynecology·Liesbeth LewiJan Deprest
Apr 8, 2006·Fetal Diagnosis and Therapy·D Ronderos-DumitN Sanchez
Sep 6, 2006·Journal of Pediatric Surgery·Alexandra BenachiMarc Dommergues
Jan 4, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C BermúdezR A Quintero
Jan 9, 2007·Journal of Pediatric Surgery·Erich J GrethelHanmin Lee
Mar 14, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D OepkesF J C M Klumper

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Citations

Mar 8, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Colin R ButlerRichard Hewitt
Mar 13, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Kyle K JensenRoya Sohaey

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