{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T21:42:06Z","timestamp":1780350126912,"version":"3.54.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intrauterine thoracoamniotic shunting in fetuses with congenital pulmonary airway malformation (CPAM) was first described using Cook\u2122 or Rocket\u2122 shunts. With the availability of the Somatex\u2122 intrauterine shunt, a new device with the supposed advantages of less invasive placement and less frequent dislocations, pediatric surgeons and neonatologists are increasingly confronted with a new cohort of patients. Data on postnatal findings and the impact on surgical management are scarce.<\/jats:p>\n                  <jats:p>We conducted a multicenter retrospective study of all children born after prenatal treatment with a Somatex\u2122 thoracoamniotic shunt for suspected CPAM. We analyzed the clinical and respiratory conditions of the children at birth as well as shunt locations, removal procedures, and timing of surgery.<\/jats:p>\n                  <jats:p>Twelve patients were included. 8\/12 patients presented postnatally with pneumothorax, necessitating in all cases the placement of a chest tube. In 6\/12 patients, the removal of the Somatex\u2122 shunt had to be done surgically, bedside removal was possible in 5 patients. One patient was born without the shunt due to intrauterine dislocation. All patients were operated on using a muscle-sparing thoracotomy, at ages ranging from 1 to 42 days; only one could be discharged before surgery. One patient underwent emergency surgery. With a median follow-up of 19 months, 11\/12 patients survived.<\/jats:p>\n                  <jats:p>Despite the small number of patients and the retrospective aspect of this study, our observations showed that intrauterine treatment of CPAM with the Somatex\u2122 shunt is frequently associated with postnatal complications. Neonatologists and pediatric surgeons must be aware of the high rate of pneumothorax and the presumable necessity of early surgical intervention.<\/jats:p>","DOI":"10.1055\/a-2631-4152","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T19:02:21Z","timestamp":1750705341000},"page":"470-474","source":"Crossref","is-referenced-by-count":2,"title":["Postnatal Outcomes and Surgical Implications of Somatex\u2122 Thoracoamniotic Shunting for CPAM: A Multicenter Experience"],"prefix":"10.1055","volume":"35","author":[{"given":"Jules","family":"Kohaut","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, University Hospital Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Oetzmann von Sochaczewski","sequence":"additional","affiliation":[{"name":"Sektion Kinderchirurgie, Chirurgische Klinik, University Hospital Bonn, Bonn, Nordrhein-Westfalen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas C.","family":"Heydweiller","sequence":"additional","affiliation":[{"name":"Sektion Kinderchirurgie, Chirurgische Klinik, University Hospital Bonn, Bonn, Nordrhein-Westfalen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Jimenez-Cruz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Nordrhein-Westfalen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Oelgeschlaeger","sequence":"additional","affiliation":[{"name":"Division of Prenatal Medicine, Gynecological Ultrasound and Fetal Surgery, Department of Obstetrics and Gynecology, University Hospital Cologne, Cologne, Nordrhein-Westfalen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Berg","sequence":"additional","affiliation":[{"name":"Division of Prenatal Medicine, Gynecological Ultrasound and Fetal Surgery, Department of Obstetrics and Gynecology, University Hospital Cologne, Cologne, Nordrhein-Westfalen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"D\u00fcbbers","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, University Hospital Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1038\/s41572-023-00470-1","article-title":"Congenital lung malformations","volume":"9","author":"F Pederiva","year":"2023","journal-title":"Nat Rev Dis Primers"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.jpedsurg.2022.10.028","article-title":"The long-term outcome following thoraco-amniotic shunting for congenital lung 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