Serial Amnioinfusion as Regenerative Therapy for Pulmonary Hypoplasia in Fetuses With Intrauterine Renal Failure or Severe Renal Anomalies: Systematic Review and Future Perspectives
| Autor: | Mari Charisse Trinidad, Sherif A. Shazly, Andre Terzic, Mikel Prieto, Brenda Schiltz, Victoria Novoa, David J. Sas, Simrit K. Warring, Rodrigo Ruano |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
PPROM preterm premature rupture of membranes medicine.medical_treatment Oligohydramnios Review 030204 cardiovascular system & hematology WHO World Health Organization Amnioinfusion 03 medical and health sciences Pulmonary hypoplasia 0302 clinical medicine MVP maximal vertical pocket Interquartile range AFI AF index BRA bilateral renal agenesis medicine 030212 general & internal medicine PD peritoneal dialysis AFV AF volume IQR interquartile range lcsh:R5-920 AF amniotic fluid business.industry Obstetrics SAT serial amnioinfusion therapy Gestational age medicine.disease DOL day of life Bilateral Renal Agenesis LUTO lower urinary tract obstruction Apgar score CRA congenital renal anomaly lcsh:Medicine (General) Urinary tract obstruction business GA gestational age |
| Zdroj: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 4, Iss 4, Pp 391-409 (2020) Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| ISSN: | 2542-4548 |
| DOI: | 10.1016/j.mayocpiqo.2020.04.008 |
| Popis: | The aim of this study was to investigate the effect of serial amnioinfusion therapy (SAT) for pulmonary hypoplasia in lower urinary tract obstruction (LUTO) or congenital renal anomalies (CRAs), introduce patient selection criteria, and present a case of SAT in bilateral renal agenesis. We conducted a search of the MEDLINE, EMBASE, Web of Science, and Scopus databases for articles published from database inception to November 10, 2017. Eight studies with 17 patients (7 LUTO, 8 CRA, and 2 LUTO + CRA) were included in the study. The median age of the mothers was 31 years (N=9; interquartile range [IQR], 29-33.5 years), the number of amnioinfusions was 7 (N=17; IQR, 4.5-21), gestational age at first amnioinfusion was 23 weeks and 4 days (N=17; IQR, 21-24.07), gestational age at delivery was 32 weeks and 2 days (N=17; IQR, 30 weeks to 35 weeks and 6.5 days), birthweight of newborns was 3.7 kg (N= 9; IQR, 2.7-3.7 kg), Apgar score at 1 minute was 2.5 (N=8; IQR, 1-6.5), and Apgar score at 5 minutes was 5.5 (N=8; IQR, 0-7.75). In conclusion, SAT may provide fetal pulmonary palliation by reducing the risk of newborn pulmonary compromise secondary to oligohydramnios. Multidisciplinary research efforts are required to further inform treatment and counseling guidelines. We propose a multidisciplinary approach to prenatal classification of fetuses with LUTO to inform patient selection. |
| Databáze: | OpenAIRE |
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