{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:27:29Z","timestamp":1785738449941,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2012,11,8]],"date-time":"2012-11-08T00:00:00Z","timestamp":1352332800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the safety and efficacy of thoracoamniotic shunting for fetal pleural effusion using a double\u2010basket catheter with a very small diameter (1.47\u2009mm).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In this 2\u2010year multicenter, prospective single\u2010arm clinical study registered with the University hospital Medical Information Network (UMIN) Clinical Trials Registry (UMIN00001095); shunting was performed between 18w0d and 33w6d of gestation with this catheter in cases of fetal pleural effusions reaccumulating after thoracocentesis. The primary endpoint measures were maternal and fetal adverse effects and survival in the neonatal period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 24 cases were included, of which 17 had hydrops (71%). The median gestational ages at shunting and delivery were 27.4 and 34.8\u2009weeks, respectively. There were no fetal deaths, lung injuries, or severe maternal complications. Preterm rupture of the membranes occurred in 7\/24 (29%) cases at a median of 62\u2009days after the shunting. Preterm rupture of the membranes within 28\u2009days of the procedure occurred in 1\/24 (4%) cases. Catheter displacement towards the fetal thoracic cavity occurred in 4\/42 (10%) cases. The overall survival rate was 79% (19\/24), whereas it was 71% (12\/17) in the cases with hydrops.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Drainage of fetal pleural effusions with a double\u2010basket shunt is safe and effective, and the shunt could be an alternative device. \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.3994","type":"journal-article","created":{"date-parts":[[2012,11,9]],"date-time":"2012-11-09T06:57:16Z","timestamp":1352444236000},"page":"1282-1287","source":"Crossref","is-referenced-by-count":39,"title":["Thoracoamniotic shunting for fetal pleural effusions using a double\u2010basket shunt"],"prefix":"10.1002","volume":"32","author":[{"given":"Yuichiro","family":"Takahashi","sequence":"first","affiliation":[{"name":"Department of Fetal\u2010Maternal Medicine Nagara Medical Center  Gifu 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