title: Thoracoscopy-assisted removal of a thoracoamniotic shunt double-basket catheter dislodged into the fetal thoracic cavity: report of three cases.
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.
authors.affiliation: Department of Hepato-Billiary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, Kamoda 1981, Kawagoe, Saitama, 3508550, Japan, sei_khsr@saitama-med.ac.jp.
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Inoue
authors.forename: Akio
authors.initials: A
authors.lastname: Odaka
authors.forename: Kazunori
authors.initials: K
authors.lastname: Baba
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kunikata
authors.forename: Hisanori
authors.initials: H
authors.lastname: Sobajima
authors.forename: Masanori
authors.initials: M
authors.lastname: Tamura
mesh_terms: D002404:Catheterization / Q000009:adverse effects*; D057785:Catheters / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D004322:Drainage / Q000295:instrumentation; D004868:Equipment Failure; D005260:Female; D046128:Fetal Therapies / Q000009:adverse effects* / Q000295:instrumentation*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010996:Pleural Effusion / Q000175:diagnosis / Q000196:embryology / Q000628:therapy*; D035423:Thoracic Cavity / Q000196:embryology* / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D016896:Treatment Outcome
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