☆ 4.4 Editorial Material

Antenatal management of congenital diaphragmatic hernia: What's next ?

PRENATAL DIAGNOSIS (2022)

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Mortality in Congenital Diaphragmatic Hernia A Multicenter Registry Study of Over 5000 Patients Over 25 Years

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Summary: This study examines the risk-adjusted survival rates of CDH patients over the past 25 years in long-term participants of the CDH Study Group. The results show that the risk-adjusted and observed-to-expected mortality rates for CDH have improved over time.

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The randomized Tracheal Occlusion To Accelerate Lung growth (TOTAL)-trials on fetal surgery for congenital diaphragmatic hernia: reanalysis using pooled data

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Summary: This analysis suggests that fetoscopic endoluminal tracheal occlusion improves survival in cases of moderate and severe lung hypoplasia. The timing of balloon insertion may impact the treatment effect, but further research is needed to determine its precise influence due to the limited sample size and confounding factors. In particular, early insertion of the balloon greatly increases the risk of preterm delivery.

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How should fetal surgery for congenital diaphragmatic hernia be implemented in the post-TOTAL trial era: A discussion

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Summary: Following prenatal diagnosis of congenital diaphragmatic hernia, the severity can be predicted based on associated abnormalities, lung size, and position of the liver. Fetoscopic endoluminal tracheal occlusion (FETO) can reverse pulmonary hypoplasia and improve neonatal outcome. Recent randomized controlled trials showed that FETO increased survival to discharge from the neonatal intensive care unit in severe and moderate cases, but with a higher risk of prematurity.

PRENATAL DIAGNOSIS (2022)

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The TOTAL trial dilemma: A survey among professionals on equipoise regarding fetal therapy for severe congenital diaphragmatic hernia

Simen Vergote et al.

Summary: Maternal-fetal medicine specialists have a high level of knowledge about CDH and FETO, but there are contradictions between their knowledge and clinical practices. Despite most clinicians assessing severity and recommending FETO, 70% perceive not offering FETO on patient demand as a lack of treatment for a fetus with predicted poor outcome. This indicates a tension between clinical and scientific obligations.

PRENATAL DIAGNOSIS (2021)

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Safety and efficacy of smart tracheal occlusion device in diaphragmatic hernia lamb model

D. Basurto et al.

Summary: The study demonstrates that using the Smart-TO device for tracheal occlusion in fetal lambs with congenital diaphragmatic hernia is effective and safe, resulting in improved lung and airway development at birth.

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Fetal endoscopic tracheal occlusion reverses the natural history of right-sided congenital diaphragmatic hernia: European multicenter experience

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Summary: The antenatal measurement of lung size can predict the survival of fetuses with isolated right-sided congenital diaphragmatic hernia (iRCDH). In cases with severe lung hypoplasia, fetal endoscopic tracheal occlusion (FETO) is associated with a significant increase in survival without an associated increase in neonatal morbidity.

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Study protocol: a core outcome set for perinatal interventions for congenital diaphragmatic hernia

Simen Vergote et al.

Summary: This article aims to describe the methodology for defining a COS for perinatal and neonatal outcomes of fetuses and newborns with congenital diaphragmatic hernia and to draft a dissemination and implementation plan. The methodology described in the COMET Initiative Handbook will be used. An international steering group will be established to guide the development of the COS. The literature is being systematically reviewed to identify all potential relevant pre- and neonatal outcomes previously used in studies on perinatal interventions for CDH.

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Knowledge Gaps in the Fetal to Neonatal Transition of Infants With a Congenital Diaphragmatic Hernia

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FRONTIERS IN PEDIATRICS (2021)

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PRENATAL DIAGNOSIS (2021)

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Article Cell Biology

Fetal lung underdevelopment is rescued by administration of amniotic fluid stem cell extracellular vesicles in rodents

Lina Antounians et al.

Summary: Fetal lung underdevelopment, also known as pulmonary hypoplasia, is characterized by decreased lung growth and maturation, with congenital diaphragmatic hernia being the most common birth defect associated with it. Despite the lack of effective treatment options, a stem cell-based approach involving the administration of extracellular vesicles derived from amniotic fluid stem cells has shown promise in enhancing fetal lung development in rodent models. These vesicles can promote branching morphogenesis and alveolarization, potentially offering a regenerative solution for underdeveloped fetal lungs.

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Efficacy of Intact Cord Resuscitation Compared to Immediate Cord Clamping on Cardiorespiratory Adaptation at Birth in Infants with Isolated Congenital Diaphragmatic Hernia (CHIC)

Kevin Le Duc et al.

Summary: The CHIC trial aims to evaluate the efficacy of intact cord resuscitation compared to immediate cord clamping on cardiorespiratory adaptation at birth in infants with congenital diaphragmatic hernia. It is expected that infants in the intact cord resuscitation group will have better outcomes in terms of cardiorespiratory adaptation.

CHILDREN-BASEL (2021)

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Increased survival following fetoscopic endoluminal tracheal occlusion for diaphragmatic hernia

Floris Groenendaal et al.

JOURNAL OF PEDIATRICS (2021)

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Letter Medicine, General & Internal

Fetal Surgery for Severe Left Diaphragmatic Hernia

Charles J. H. Stolar et al.

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Randomized Trial of Fetal Surgery for Severe Left Diaphragmatic Hernia

J. A. Deprest et al.

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NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Prenatal diagnosis, imaging, and prognosis in Congenital Diaphragmatic Hernia

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SEMINARS IN PERINATOLOGY (2020)

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Can circular RNAs be used as prenatal biomarkers for congenital diaphragmatic hernia?

Richard Wagner et al.

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Should we offer fetal surgery for severe congenital diaphragmatic hernia or bring these cases to trial? Difference between chance and hazard

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J. Deprest

ULTRASOUND IN OBSTETRICS & GYNECOLOGY (2020)

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Review Pharmacology & Pharmacy

Sildenafil for Antenatal Treatment of Congenital Diaphragmatic Hernia: From Bench to Bedside

Francesca M. Russo et al.

CURRENT PHARMACEUTICAL DESIGN (2019)

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Article Genetics & Heredity

Evaluation of a new balloon for fetal endoscopic tracheal occlusion in the nonhuman primate model

Nicolas Sananes et al.

PRENATAL DIAGNOSIS (2019)

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Review Genetics & Heredity

Maternal complications following open and fetoscopic fetal surgery: A systematic review and meta-analysis

Adalina Sacco et al.

PRENATAL DIAGNOSIS (2019)

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Antenatal therapy with sildenafil: don't throw the baby out with the bathwater

F. M. Russo et al.

ULTRASOUND IN OBSTETRICS & GYNECOLOGY (2019)

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Prenatal microRNA miR-200b Therapy Improves Nitrofen-induced Pulmonary Hypoplasia Associated With Congenital Diaphragmatic Hernia

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ANNALS OF SURGERY (2019)

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Article Genetics & Heredity

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Article Acoustics

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Article Pediatrics

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Jan Deprest et al.

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Abnormal neuroimaging and neurodevelopmental findings in a cohort of antenatally diagnosed congenital diaphragmatic hernia survivors

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Learning curve for lung area to head circumference ratio measurement in fetuses with congenital diaphragmatic hernia

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Article Radiology, Nuclear Medicine & Medical Imaging

Lung volumes in fetuses with congenital diaphragmatic hernia: Comparison of 3D US and MR imaging assessments

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Article Acoustics

Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia

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Review Peripheral Vascular Disease

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Article Acoustics

Fetoscopic tracheal occlusion (FETO) for severe congenital diaphragmatic hernia: evolution of a technique and preliminary results

J Deprest et al.

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Patterns of cerebral injury in a series of infants with congenital diaphragmatic hernia utilizing magnetic resonance imaging

RW Hunt et al.

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Treatment of severe congenital diaphragmatic hernia by fetal tracheal occlusion: Clinical experience with fifteen cases

AW Flake et al.

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