Intrauterine fetal transfusion in 365 fetuses during fifteen years

Autor: Frigoletto, F.D., Umansky, I., Birnholz, J., Acker, D., Easterday, C.L., Harris, G.B.C., Griscom, N.T.
Zdroj: American Journal of Obstetrics and Gynecology; April 1981, Vol. 139 Issue: 7 p781-787, 7p
Abstrakt: The results of intrauterine fetal transfusion in 365 consecutive fetuses with erythroblastosis fetalis, between May 1 1964, and December 1979, are reported. The gestational ages of the fetuses at initial transfusion ranged from 22 to 33 weeks. The criteria for transfusion were established by optical density measurements on amniotic fluid supplemented by amniograms and ultrasonography. The transfusions were performed under x-ray and fluoroscopic guidance in the first 330 fetuses and 142 survived (43%). Two hundred fifty-eight of these had no evidence of ascites or hydrops initially and 137 survived (53%). Of the 72 fetuses which had hydrops or ascites, five survived. For the last 35 fetuses treated since January 1978, the procedure has been performed under direct ultrasound guidance with the use of a real-time phased array sector scanner. Seventeen fetuses have survived (49%). Twenty-one of the 35 fetuses had no evidence of ascites or hydrops and 13 survived (62%). Of the 14 fetuses who had hydrops or ascites, four survived.
Databáze: Supplemental Index