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Development of detachable silicone balloon for fetal tracheal occlusion

Research Project

Project/Area Number 10671666
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatric surgery
Research InstitutionUniversity of Tokyo

Principal Investigator

ITOH Mitsuhiro  University of Tokyo, Faculty of Medicine, Assistant, 医学部・附属病院, 助手 (40261995)

Co-Investigator(Kenkyū-buntansha) KITANO Yoshihiro  University of Tokyo, Faculty of Medicine, Assistant, 医学部・附属病院, 助手 (30261994)
KOZUMA Shirou  University of Tokyo, Faculty of Medicine, Associate professor, 医学部・附属病院, 助教授 (10272569)
HASHIZUME Kohei  University of Tokyo, Faculty of Medicine, professor, 医学部・附属病院, 教授 (50180815)
Project Period (FY) 1998 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1999: ¥800,000 (Direct Cost: ¥800,000)
Keywordsfetal surgery / diaphragmatic hernia / endoscopic surgery
Research Abstract

In this study, we have shown that insertion of a detachable, cyllinder-shaped silicone balloon to the fetal trachea is feasible in pregnant sheep. The balloon stayed inside the trachea for 1-2 weeks in 6 out of 7 fetal lambs. The effect of tracheal occlusion by this custom made balloon on fetal lung growth was as remarkable as that induced by tracheal ligation or clipping. The hysterotomy required for the balloon insertion was as small as 1 cm. This approach is clinical beneficial because it is minimally invasive to the pregnant uterusand is potentially reversible by ultrasound guided puncture of the balloon. However, the tracheal malacia was seen in all of the trachea-occluded animals. Finer selection in the balloon size is mandatory to avoid this serious complication.

Report

(3 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • Research Products

    (8 results)

All Other

All Publications (8 results)

  • [Publications] Y. Kitano: "Open fetal surgery for life-threatening fetal malformations"Semin. Perinatol.. 23. 448-461 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kitano: "Lung growth induced by tracheal occlusion in the sheep is augmented by airway pressurization"J. Pediatr. Surg.. 35. 216-222 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kitano: "Fetal tracheal occlusion in the rat model of nitrofen induced congenital diaphragmatic hernia"J. Appl. Physiol.. 87. 769-775 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kitano: "New developments in fetal surgery"Curr. Opin. Pediatr.. 11. 193-199 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kitano, A. W. Flake, T. M. Crombleholme, M. P. Johnson, and N. S. Adzick: "Open fetal surgery for life-threatening fetal malformations"Semin. Perinatol.. 23. 448-461 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kitano, A. W. Flake, T. M. Quinn, M. Kanai, P. Davies. T. J. Sablich, C. Schneider, N. S. Adzick, and D. von Allmen: "Lung growth induced by tracheal occlusion in the sheep is augmented by airway pressurization"J. Pediatr. Surg.. 35. 216-222 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kitano, P. Davies, D. von Allmen, N. S. Adzick, and A. W. Flake: "Fetal tracheal occlusion in the rat model of nitrofen induced congenital diaphragmatic hernia"J. Appl. Physiol.. 87. 769-775 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y. Kitano and N. S. Adzick: "New developments in fetal surgery"Curr. Opin. Pediatr. 11. 193-199 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary

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Published: 1999-04-01   Modified: 2016-04-21  

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