Transabdominal placement of a fetal tracheal balloon for tracheal occlusion in a fetus with severe congenital diaphragmatic hernia
This video shows details of a fetal tracheal occlusion procedure in a fetus with severe congenital diaphragmatic hernia. The first part demonstrates the ultrasound directed placement of a 10F port through the maternal abdominal wall into the uterus. The port is seen entering just above the nose of the fetus. The second part shows the view through the fetoscope and demonstrates the progression from finding the lips, moving into the mouth over the tongue, navigating the larynx, identifying the esophagus, identifying the vocal cords, entering the trachea and finally placing the balloon above the carina to occlude the trachea. See the related article by Belfort et al (January 2017 issue). Video courtesy of Mr. Wally Crow and Dr. Michael Belfort.
Mr. Wally Crow and Dr. Michael Belfort