Fetal Cardiac Intervention: A Comprehensive Review of Current Evidence.

Henrique Provinciatto, Christiane Simioni, Alberto Borges Peixoto, Talita Micheletti, Marcelo Brandão da Silva, Carlo Benatti Pilla, Edward Araujo Júnior
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Abstract

Fetal cardiac intervention consists of a novel and evolving technique for the intrauterine treatment of a subset of patients with congenital heart diseases, which aims to improve hemodynamics, reduce secondary damage, and achieve better postnatal outcomes. Nevertheless, the risks and benefits of this therapy remains subject to controversy. This review describes the rationale, selection criteria, and technical features for the most frequently performed fetal cardiac interventions. In addition, we provide a comprehensive overview of the medical literature, exploring the clinical implications of each therapy.

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胎儿心脏干预:当前证据的全面回顾。
胎儿心脏介入疗法是一种不断发展的新技术,用于对一部分先天性心脏病患者进行宫内治疗,目的是改善血液动力学、减少继发性损伤,并改善产后预后。然而,这种疗法的风险和益处仍存在争议。本综述介绍了最常用的胎儿心脏介入疗法的原理、选择标准和技术特点。此外,我们还对医学文献进行了全面概述,探讨了每种疗法的临床意义。
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