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- W4238297776 abstract "Large bronchopulmonary sequestration (BPS) is commonly treated prenatally with laser ablation of the feeding artery with satisfactory outcome. On the other hand, ablation of the feeding artery using radiofrequency (RFA) was only reported once which was complicated with significant thermal damage of the fetal diaphragm and chest wall, and eventually neonatal death. We reported a fetal case of large BPS treated successfully with RFA at 20+6 weeks of gestation. The BPS was initially 5.0*4.6*4.4cm in size causing significant mediasternal shift with congenital pulmonary airway malformation volume ratio (CVR) of 2.19. After RFA ablation with LeVeen SuperSlim Needle Electrode (17G, 15cm long), the tumour regressed to only 1.6cm at term, and the fetus was delivered at 39 weeks vaginally. The potential advantages of RFA are its small needle size (17G) and the size of the heating zone can be adjusted by varying the degree of deployment of the tines. Clear visualisation of the feeding artery, precise aiming at the target, with appropriate deployment of tines are the mainstay for the effective and safe performance of RFA in fetal therapy." @default.
- W4238297776 created "2022-05-12" @default.
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- W4238297776 date "2020-10-01" @default.
- W4238297776 modified "2023-10-18" @default.
- W4238297776 title "VP20.05: Bronchopulmonary sequestration successfully treated with prenatal radiofrequency ablation of the feeding artery" @default.
- W4238297776 doi "https://doi.org/10.1002/uog.22642" @default.
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