{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:27:31Z","timestamp":1785738451015,"version":"3.56.0"},"reference-count":17,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fetal Diagn Ther"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; From a single-center retrospective cohort with fetal chylothorax, we evaluated the factors related to the decision to use shunting, poor prognostic factors, and reported shunting outcomes with a new double basket-catheter device. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; A retrospective single-center study was performed in 35 cases of fetal chylothorax. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; There were 35 cases of chylothorax: 23 with hydrops and 12 without hydrops. Twenty-one procedures were performed on 15 fetuses (11 with hydrops) with a single shunt in 11, two shunts in 3 and four shunts in 1. All 12 nonhydropic cases survived. In 23 hydropic cases, overall survival rates with and without thoracoamniotic shunting were 46 and 33%, respectively. The mortality rates of fetal hydropic cases with and without ascites were 93 and 11%, respectively. Fetal ascites, progression of fetal hydrops, and premature delivery at &lt;33 weeks were significant risk factors for a poor prognosis. Progression of polyhydramnios after shunting was also associated with a poor prognosis. Obstruction of the catheter was observed in 38%. There were no direct fetal deaths associated with shunting. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Thoracoamniotic shunting should be considered for pleural effusion before development of fetal hydrops, or at least before the appearance of fetal ascites. A double-basket catheter tends to be obstructive, but may be less invasive for fetuses.<\/jats:p>","DOI":"10.1159\/000348776","type":"journal-article","created":{"date-parts":[[2013,4,12]],"date-time":"2013-04-12T07:27:30Z","timestamp":1365751650000},"page":"19-25","source":"Crossref","is-referenced-by-count":24,"title":["Retrospective Review of Thoracoamniotic Shunting Using a Double-Basket Catheter for Fetal Chylothorax"],"prefix":"10.1159","volume":"34","author":[{"given":"Takekazu","family":"Miyoshi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Katsuragi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinami","family":"Horiuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaoru","family":"Kawasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chizuko A.","family":"Kamiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihito","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Osato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reiko","family":"Neki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Yoshimatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2013,4,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(89)80509-3"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000020863"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1992.02030162.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1159\/000086814"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1768"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1808"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1883"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2000.tb01342.x"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000106347"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198810273191706"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000263586"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2010.01884.x"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.05.016"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7507"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12332"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1159\/000078994"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1995.tb13749.x"}],"container-title":["Fetal Diagnosis and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/348776","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/348776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:58:16Z","timestamp":1745434696000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000348776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2013,7,1]]},"published-print":{"date-parts":[[2013,7,17]]}},"URL":"https:\/\/doi.org\/10.1159\/000348776","archive":["Portico"],"relation":{},"ISSN":["1015-3837","1421-9964"],"issn-type":[{"value":"1015-3837","type":"print"},{"value":"1421-9964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}