Objectives: To review the indications, applications and technique of fetal cardiocentesis.
Methods: Review of published case reports and case series of fetal cardiocentesis utilizing the PubMed search engine of the National Library of Medicine.
Results: Case reports and case series demonstrate that fetal cardiocentesis may be an alternative method by which to facilitate prenatal diagnosis, intravascular therapy, multifetal and selective fetal reduction and in utero therapy of congenital heart disease. However, procedure-associated risk is higher than with cordocentesis and may limit use of this procedure.
Conclusions: Fetal cardiocentesis may be a reasonable option to obtain fetal intravascular access and facilitate therapeutic interventions when cordocentesis fails or is not feasible. However, expected benefit must clearly outweigh the procedure-associated risk.
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View Article and Find Full Text PDFFetal cardiocentesis: a review of indications, risks, applications and technique.
Fetal Diagn Ther
June 2008
Maternal-Fetal Medicine Section, Perinatal Center, St. Luke's Hospital and Health Network, Bethlehem, Pa 18015, USA.
Objectives: To review the indications, applications and technique of fetal cardiocentesis.
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Department of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Ospedale Microcitemico, Cagliari, Italy.
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