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Roethlisberger M, Gottschalk I, Geipel A, Mallmann MR, Gembruch U, Berg C. Erst Trimester Interventionen bei Twin Reversed Arterial Perfusion (TRAP) Sequenz. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1583809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Hellmund A, Berg C, Geipel A, Becker A, Bald R, Gembruch U. Frühe intrauterine Transfusion vor 20 + 0 Schwangerschaftswochen bei Feten mit schwerer Anämie durch Parvovirus B 19 Infektion. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1583814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Gottschalk I, Stressig R, Ritgen J, Herberg U, Breuer J, Vorndamme A, Strizek B, Willruth A, Geipel A, Gembruch U, Berg C. Extracardiac anomalies in prenatally diagnosed heterotaxy syndrome. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2016; 47:443-449. [PMID: 25847110 DOI: 10.1002/uog.14871] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Revised: 03/29/2015] [Accepted: 03/31/2015] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To assess the incidence and impact of extracardiac anomalies on the prognosis of fetuses with heterotaxy syndrome. METHODS All fetuses diagnosed with heterotaxy syndrome by three experienced examiners over a period of 14 years (1999-2013) were reviewed retrospectively. RESULTS In total, 165 fetuses with heterotaxy syndrome were diagnosed in the study period. One hundred and fifty (90.9%) had cardiac defects; extracardiac anomalies that did not involve the spleen were present in 26/165 (15.8%) cases. Of the total study cohort, termination of pregnancy was performed in 49 (29.7%) cases, intrauterine death occurred in 11 (6.7%), postnatal death occurred in 38 (23.0%) and 67 (40.6%) were alive at the latest follow-up, resulting in a total perinatal and pediatric mortality of 59.4%. Among the 105 liveborn neonates, 15 (14.3%) had extracardiac anomalies with significant impact on the postnatal course: one neonate died following repair of an encephalocele, six had successful treatment for various types of intestinal malrotation and/or atresia and one underwent hiatal hernia repair; the remaining seven had biliary atresia, of which five died and the two survivors are awaiting liver transplantation. The status of the spleen was assessed in 93/105 liveborn children and was found to be abnormal in 84/93 (90.3%). There were three cases of lethal sepsis, all associated with asplenia. Of the 38 postnatal deaths, 29 (76.3%) had a cardiac cause, seven (18.4%) had an extracardiac cause and in two (5.2%) the reason was uncertain. CONCLUSIONS Although the leading causes of death in fetuses and children with heterotaxy syndrome are cardiac, a small subset of fetuses have extracardiac anomalies with significant impact on outcome. These anomalies often escape prenatal detection, and therefore neonates at risk should be monitored for bowel obstruction, biliary atresia and immune dysfunction in order to allow timely intervention through a multidisciplinary approach. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd.
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Abel JS, Flöck A, Berg C, Gembruch U, Geipel A. Drillings- und Vierlingsschwangerschaften mit monochorialer Komponente – Vergleich des Outcomes nach konservativem Vorgehen und Reduktion. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Dirks V, Berg C, Kainer F. Selektiver Fetozid bei monochorialer-monoamnioter Zwillingsschwangerschaft in der zweiten Schwangerschaftshälfte. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Kurz R, Bachour H, Müller A, Bartmann P, Geipel A, Berg C, Gembruch U, Born M, Müller AM, Kalff JC, Heydweiller A. Ergebnisse von Kindern mit angeborenen Lungenfehlbildungen: Bericht über ca. 7 Jahre Erfahrung in der Kinderchirurgie der Uniklinik Bonn. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Strizek B, Gottschalk I, Herberg U, Geipel A, Berg C, Gembruch U. Flecainid ist die effektivste Therapie bei fetaler supraventrikulärer Tachykardie. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Strizek B, Zamprakou A, Geipel A, Gembruch U, Gottschalk I, Berg C. Outcome bei pränatal diagnostizierter Agenesie des Ductus venosus. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1559992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Gottschalk I, Berg C. Extrakardiale Anomalien in pränatal diagnostizierten Heterotaxie-Syndromen. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1559996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Bourdil L, Manegold-Brauer G, Berg C, Schoetzau A, Gembruch U, Geipel A. Pränasale Hautdicke und Nasenbeinlänge als Marker für eine fetale Trisomie 21 im ersten Trimenon. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1559997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Hellmund A, Berg C, Geipel A, Gembruch U. Pränatale Diagnose der fetalen Akinesie-Deformations-Sequenz – eine Studie von 79 Fällen. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1559994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Rüland A, Berg C, Gembruch U, Geipel A. Pränatale Diagnostik von Corpus Callosum Anomalien während der letzten 13 Jahre. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0034-1375742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Stadié R, Geipel A, Gembruch U, Berg C. Intrauterine Therapie subvesikaler Obstruktionen (LUTO) mittels vesikoamnialen Shunt (VAS). Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0034-1375778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Manegold-Brauer G, Berg C, Flöck A, Gembruch U, Geipel A. Führt NIPT zu einer Reduktion invasiver Eingriffe im Risikokollektiv? Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0034-1375735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Rüland A, Dresbach T, Berg C, Gembruch U, Geipel A. Diagnostik und peripartales Outcome bei fetalem Perikardteratom. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0034-1375741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Heller F, Reiss AK, Geipel A, Berg C, Goecke TW, Voigt F, Engel J, Dammer U, Carbon R, Schroth M, Beckmann MW, Faschingbauer F. Postnatale Komplikationen bei fetaler Gastroschisis – Bedeutung des Entbindungszeitpunktes. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0034-1375710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Gottschalk I, Jehle C, Stressig R, Herberg U, Breuer J, Gembruch U, Geipel A, Berg C. Pränatale Diagnose und postnataler Verlauf komplexer Fallot'scher Tetralogien. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0034-1375707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Kagan KO, Sonek J, Berg X, Berg C, Mallmann M, Abele H, Hoopmann M, Geipel A. Facial markers in second- and third-trimester fetuses with trisomy 18 or 13, triploidy or Turner syndrome. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2015; 46:60-65. [PMID: 25175793 DOI: 10.1002/uog.14655] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Revised: 07/22/2014] [Accepted: 07/25/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To examine the effectiveness of nasal bone (NB) evaluation (including NB length (NBL)), prenasal thickness (PT) measurement, the PT:NBL ratio and the prefrontal space ratio (PFSR) in the identification of fetuses with trisomy 18 or 13, triploidy or Turner syndrome. METHODS This was a retrospective study using stored midsagittal two-dimensional images of the facial profile of fetuses with trisomy 18 or 13, triploidy or Turner syndrome in the second and third trimesters. For images of acceptable quality, measurements were obtained of NBL (where NB was present), PT, the PT:NBL ratio and PFSR, and these measurements were compared with previously published normal ranges. RESULTS The search of databases identified 189 fetuses that met the study criteria: 132 (69.8%) with trisomy 18, 40 (21.2%) with trisomy 13, 10 (5.3%) with triploidy and seven (3.7%) with Turner syndrome. The NB was either absent or its measurement was below the 5(th) centile in 67 (50.8%), 20 (50.0%), five (50.0%) and two (28.6%) of the fetuses with trisomy 18, trisomy 13, triploidy and Turner syndrome, respectively. The PT measurement was above the 95(th) centile in 24 (18.2%), six (15.0%), one (10.0%) and one (14.3%) of the affected fetuses, respectively. The PFSR was abnormal in 72 (54.5%), 29 (72.5%), seven (70%) and four (57.1%) of the cases and the PT:NBL ratio was above the 95(th) centile or the nasal bone was absent in 72 (54.5%), 20 (50.0%), six (60.0%) and four (57.1%) cases, respectively. CONCLUSION Although each of the facial markers considered provides some useful information in screening for trisomy 18, trisomy 13, triploidy and Turner syndrome, the performance of none of the markers appears to be as good as that in screening for trisomy 21.
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Berg C, Yngvesson J, Nimmermark S, Sandström V, Algers B. Killing of spent laying hens using CO 2 in poultry barns. Anim Welf 2014. [DOI: 10.7120/09627286.23.4.445] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Mallmann MR, Geipel A, Bludau M, Matil K, Gottschalk I, Hoopmann M, Müller A, Bachour H, Heydweiller A, Gembruch U, Berg C. Bronchopulmonary sequestration with massive pleural effusion: pleuroamniotic shunting vs intrafetal vascular laser ablation. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2014; 44:441-446. [PMID: 24407869 DOI: 10.1002/uog.13304] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2013] [Revised: 12/29/2013] [Accepted: 12/31/2013] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To assess the incidence of complications among a relatively large cohort of fetuses with bronchopulmonary sequestration (BPS) and the success of two different intrauterine treatment modalities. METHODS All cases with a prenatal diagnosis of BPS detected in a 10-year period (2002-2011) in two tertiary referral centers were reviewed retrospectively for intrauterine course and outcome. Up to May 2010 severe pleural effusions were treated with pleuroamniotic shunting. Thereafter, they were treated with ultrasound-guided laser coagulation of the feeding artery. RESULTS A total of 41 fetuses with BPS were included in the study. In 29 (70.7%) there was no pleural effusion or hydrops and they were treated conservatively. In 19/29 (65.5%) there was partial or complete regression of the lesion during the course of pregnancy. All were born alive (median age at delivery, 38.3 (interquartile range (IQR), 34.0-39.6) weeks) and 16 (55.2%) required sequestrectomy. Intrauterine intervention was performed in all 12 (29.3%) fetuses with pleural effusion. Seven fetuses were treated with pleuroamniotic shunting. One fetus with severe hydrops died in utero. There was no complete regression in any case of BPS in this group. Six infants were born alive (median age, 37.2 (IQR, 30.3-37.4) weeks), of which five (83.3%) required sequestrectomy. Five fetuses were treated with laser ablation of the feeding vessel. In all cases of BPS there was regression after laser ablation. All infants were delivered at term (median age, 39.1 (IQR, 38.0-40.0) weeks). One (20.0%) neonate required sequestrectomy after birth. Following intrauterine shunt placement complete regression of the lesion was significantly less frequent (0/7 (0%) with shunt placement vs 4/5 (80%) with intrafetal laser treatment) and gestational age at birth was significantly lower, compared to treatment with intrafetal laser. Complete regression of the lesion was also significantly more frequent in the laser group compared to cases without intervention. CONCLUSION In the absence of pleural effusion, the likelihood of spontaneous regression of BPS is high and the prognosis is therefore favorable. In cases with massive pleural effusion, treatment by laser ablation of the feeding vessel seems to be more effective than is pleuroamniotic shunting, with fewer complications. It might also reduce the need for postnatal surgery.
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Torsein M, Jansson-Mörk M, Lindberg A, Hallén-Sandgren C, Berg C. Associations between calf mortality during days 1 to 90 and herd-level cow and production variables in large Swedish dairy herds. J Dairy Sci 2014; 97:6613-21. [DOI: 10.3168/jds.2014-7949] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Accepted: 05/24/2014] [Indexed: 11/19/2022]
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Goltz D, Lunkenheimer JM, Abedini M, Herberg U, Berg C, Fischer HP. Third-trimester pulmonary maturation is significantly disturbed in patients with intact inter-atrial septum combined with mitral atresia, hypoplastic left heart syndrome or critical aortic stenosis. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Gottschalk I, Jehle C, Stressig R, Herberg U, Breuer J, Gembruch U, Geipel A, Berg C. Pränatale Diagnose und postnataler Verlauf komplexer Fallot'scher Tetralogien. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Weber SK, Müller A, Geipel A, Berg C, Gembruch U. Intrauterine Nierenvenenthrombose in einer dichorialen-diamnioten Zwillingsschwangerschaft. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Flöck A, Remig IM, Mueller A, Nadal J, Berg C, Gembruch U, Geipel A. Erhöhte Pulsatilität der A. umbilicalis bei Feten mit Trisomie 21 im späten zweiten und dritten Trimenon. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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