Chronic fetal vascular access

Intensive management of the fetus is limited by our inability to achieve access to the fetal circulation. Using laparoscopic surgery, we can maintain long-term access to the fetal circulation by extra-amniotic catheterisation of chorionic vessels in third-trimester monkeys and early-gestation sheep....

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Bibliographic Details
Published inThe Lancet (British edition) Vol. 342; no. 8879; pp. 1086 - 1087
Main Authors Hedrick, M.H, Jennings, R.W, MacGillivray, T.E, Rice, H.E, Flake, A.W, Adzick, N.S, Harrison, M.R
Format Journal Article
LanguageEnglish
Published London Elsevier Ltd 30.10.1993
Lancet
Elsevier Limited
Subjects
Animals
Biological and medical sciences
Blood
Blood pressure
Diseases of mother, fetus and pregnancy
Fetal Monitoring - methods
Fetus - blood supply
Fetus - surgery
Fetuses
Gynecology. Andrology. Obstetrics
Macaca mulatta
Medical sciences
Medical technology
Postoperative Period
Pregnancy. Fetus. Placenta
Sheep
Surgery
Umbilical Cord - surgery
Human
Fetal diseases
Treatment
Surgery
Blood vessel
Fetus
Technique
Highway access road
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Summary:Intensive management of the fetus is limited by our inability to achieve access to the fetal circulation. Using laparoscopic surgery, we can maintain long-term access to the fetal circulation by extra-amniotic catheterisation of chorionic vessels in third-trimester monkeys and early-gestation sheep. We can sample fetal blood, continuously measure blood pressure, and infuse drugs without complications. Safe vascular access will permit assessment of fetal status during fetal surgical procedures and improve postoperative monitoring. Lancet 1993; 342: 1086–87
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0140-6736
1474-547X
DOI:10.1016/0140-6736(93)92065-2