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Fetoscopic fetal transesophageal electrocardiography: a minimally invasive tool for cardiac monitoring, diagnostics, and intervention in human fetuses.

作者信息

Kohl Thomas, Herberg Ulrike

机构信息

Department of Obstetrics and Prenatal Medicine, German Center for Fetal Surgery and Minimally Invasive Therapy, University of Bonn Medical School, Bonn, Germany.

出版信息

Pediatr Cardiol. 2010 Jul;31(5):717-9. doi: 10.1007/s00246-010-9658-0. Epub 2010 Feb 7.

DOI:10.1007/s00246-010-9658-0
PMID:20140604
Abstract

Therapy-refractory supraventricular tachycardias commonly result in hydrops and death in human fetuses. Fetal transesophageal electrocardiography may aid in understanding its underlying electrophysiological mechanism and allow stimulation. Percutaneous fetoscopic deployment of an electrode catheter into the fetal esophagus by way of a single trocar was performed in a human fetus and permitted the recording of a fetal transesophageal electrocardiogram at 35 + 6 weeks of gestation. Fetal transesophageal electrocardiography can be achieved in human fetuses by way of a minimally invasive percutaneous fetoscopic approach and carries the potential to improve diagnosis and management of therapy-refractory supraventricular tachycardias in human fetuses.

摘要

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本文引用的文献

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Overview of fetal arrhythmias.胎儿心律失常概述。
Curr Opin Pediatr. 2008 Oct;20(5):522-31. doi: 10.1097/MOP.0b013e32830f93ec.
2
Analysis of the stepwise clinical introduction of experimental percutaneous fetoscopic surgical techniques for upcoming minimally invasive fetal cardiac interventions.对即将开展的微创胎儿心脏干预实验性经皮胎儿镜手术技术逐步临床引入的分析。
Surg Endosc. 2006 Jul;20(7):1134-43. doi: 10.1007/s00464-005-0662-z. Epub 2006 Jun 8.
3
Percutaneous fetoscopic tracheal balloon occlusion in sheep.绵羊经皮胎儿气管球囊封堵术
Surg Endosc. 2003 Sep;17(9):1454-60. doi: 10.1007/s00464-002-9191-1. Epub 2003 Jun 17.
4
Fetoscopic transesophageal electrocardiography and stimulation in fetal sheep: a minimally invasive approach aimed at diagnosis and termination of therapy-refractory supraventricular tachycardias in human fetuses.
Circulation. 1999 Aug 17;100(7):772-6. doi: 10.1161/01.cir.100.7.772.