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Thoracoscopy-assisted removal of a thoracoamniotic shunt double-basket catheter dislodged into the fetal thoracic cavity: report of three cases

Authors
  • Inoue, Seiichiro1
  • Odaka, Akio1
  • Baba, Kazunori2
  • Kunikata, Tetsuya3
  • Sobajima, Hisanori3
  • Tamura, Masanori3
  • 1 Saitama Medical Center, Saitama Medical University, Department of Hepato-Billiary-Pancreatic and Pediatric Surgery, Kamoda 1981, Kawagoe, Saitama, 3508550, Japan , Kawagoe (Japan)
  • 2 Saitama Medical Center, Saitama Medical University, Department of Obstetrics and Gynecology, Kamoda 1981, Kawagoe, Saitama, 3508550, Japan , Kawagoe (Japan)
  • 3 Saitama Medical Center, Saitama Medical University, Department of Pediatrics, Kamoda 1981, Kawagoe, Saitama, 3508550, Japan , Kawagoe (Japan)
Type
Published Article
Journal
Surgery Today
Publisher
Springer Japan
Publication Date
Mar 28, 2013
Volume
44
Issue
4
Pages
761–766
Identifiers
DOI: 10.1007/s00595-013-0565-x
Source
Springer Nature
Keywords
License
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Abstract

The indications for and timing of surgical removal of a dislodged thoracoamniotic shunt double-basket catheter are not established, and the side effects of the dislodged into the thoracic cavity remain controversial. The double-basket catheter was designed to reduce the incidence of catheter dislodgement; however, we have encountered four cases of thoracoamniotic shunt double-basket catheter dislodgement into the fetal thorax. The dislodged shunt catheters were removed safely with thoracoscopic assistance within several days of birth, when additional treatments for pleural effusion were needed, such as thoracic drainage tube insertion and adhesion treatment of the thorax. We report the clinical courses of three of these cases of thoracoamniotic shunt tube dislocation. By waiting several days postnatally for stabilization of respiratory and circulatory status and the effective use of thoracoscopic assistance, the dislodged catheter was safely removed from the neonatal thorax. The accumulation of case reports will help establish suitable treatments, and their indication, for a dislodged thoracoamniotic shunt catheter within the fetal thoracic cavity.

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