title: Unplanned ultrasound-guided puncture of a tracheal balloon in a premature infant with congenital diaphragmatic hernia.
abstract: Temporary tracheal balloons have been shown to improve lung growth in fetuses with severe congenital diaphragmatic hernia. Fetoscopic Endoluminal Tracheal Occlusion (FETO) is performed at 26-28 weeks gestation, and then is removed in utero at 34 weeks gestation at highly specialized centers. In case of preterm labor at a hospital without a specialized team, a number of techniques have been used to remove the balloon, sometimes with death of the newborn. We have successfully performed an ultrasound-guided approach to puncture and remove the tracheal balloon in a premature infant in an emergency setting at birth. After that she was treated for congenital diaphragmatic hernia at our Newborn Intensive Care Unit.
authors.affiliation: Neonatal Intensive Care Unit, Department of Mother and Child, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Rugolotto
authors.affiliation: Section of Pediatric Surgery, Department of Surgery, University of Verona, Verona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Giacomello
authors.affiliation: Section of Radiology, Department of Pathology and Diagnosis, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
authors.forename: G
authors.initials: G
authors.lastname: El-Dalati
authors.affiliation: Section of Otorhinolaryngology, Department of Neurosciences, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Sacchetto
authors.affiliation: Section of Anaesthesiology, Department of Emergency and Intensive Care, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Antonello
authors.affiliation: Neonatal Intensive Care Unit, Department of Mother and Child, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
authors.forename: G
authors.initials: G
authors.lastname: De Luca
authors.affiliation: Section of Obstetrics and Gynaecology, Department of Mother and Child, University of Verona, Verona, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Raffaelli
mesh_terms: D000328:Adult; D021721:Balloon Occlusion; D017809:Fatal Outcome; D005260:Female; D005315:Fetal Diseases / Q000628:therapy*; D065630:Hernias, Diaphragmatic, Congenital / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011247:Pregnancy; D016896:Treatment Outcome
keywords: CDH; EXIT; FETO; Tracheal balloon; preterm newborn