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Sponsors and Collaborators: |
University Hospital, Bonn University Hospital Mannheim |
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Information provided by: | University Hospital, Bonn |
ClinicalTrials.gov Identifier: | NCT00373438 |
Left diaphragmatic hernia detected during fetal life carries a high risk for postnatal lung failure due to lung underdevelopment and pulmonary hypertension. In severe cases, extracorporeal membrane oxygenation (ECMO) is used as a life-saving intensive care means to enable survival of severely affected infants.
Clinical experience from prospective controlled non-randomized case series with fetoscopic tracheal balloon occlusion has seen improved survival rates in contrast to untreated controls.
Therefore, the purpose of this randomized clinical trial in a less severely affected subgroup of patients is whether by fetoscopic tracheal occlusion, the intensity of postnatal intensive care therapy might be reduced. Primary outcome measure is the need for postnatal ECMO therapy.
Condition | Intervention | Phase |
---|---|---|
Diaphragmatic Hernia |
Procedure: Fetoscopic tracheal balloon occlusion |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study |
Official Title: | Randomized Clinical Trial in Order to Assess the Effect of Fetoscopic Tracheal Balloon Occlusion on the Postnatal Disease Course in Neonates With Left Congenital Diaphragmatic Hernia - FDH-ECMO/BALLOON-TRIAL |
Estimated Enrollment: | 98 |
Study Start Date: | January 2009 |
Estimated Study Completion Date: | July 2014 |
Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
A: No Intervention |
Procedure: Fetoscopic tracheal balloon occlusion
Maternal local anesthesia, percutaneous ultrasound-guided fetal analgo-sedation and relaxation, percutaneous ultrasound-guided access into amniotic cavity with trocar, fetoscopic tracheal ballon occlusion, removal of fetoscope and trocar, maternal abdominal closure, skin-to-skin time 30 minutes
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B: Experimental
Fetoscopic tracheal occlusion
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Procedure: Fetoscopic tracheal balloon occlusion
Maternal local anesthesia, percutaneous ultrasound-guided fetal analgo-sedation and relaxation, percutaneous ultrasound-guided access into amniotic cavity with trocar, fetoscopic tracheal ballon occlusion, removal of fetoscope and trocar, maternal abdominal closure, skin-to-skin time 30 minutes
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Ages Eligible for Study: | 18 Years to 50 Years |
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Exclusion Criteria:
Contact: Thomas Kohl, MD | -49-228-2871-5942 | thomas.kohl@ukb.uni-bonn.de |
Contact: Thomas Schaible, MD | -49-160-550-1023 | t.schaible@t-online.de |
Germany | |
German Center for Fetal Surgery & Minimally Invasive Therapy | Recruiting |
Bonn, Germany, 53105 | |
Contact: Thomas Kohl, MD 0049-175-597-1213 thomas.kohl@ukb.uni-bonn.de | |
Contact: Thomas Schaible, MD 0049-160-550-1023 | |
Principal Investigator: Thomas Kohl, MD | |
Principal Investigator: Thomas Schaible, MD |
Principal Investigator: | Thomas Kohl, MD | German Center for Fetal Surgery & Minimally-Invasive Therapy, University of Bonn, Germany |
Principal Investigator: | Thomas Schaible, MD | Neonatal Intensive Care Unit (ECMO center), University of Mannheim, Germany |
Responsible Party: | German Center for Fetal Surgery & Minimally-Invasive Therapy ( Thomas Kohl MD ) |
Study ID Numbers: | FDH-ECMO/BALLOON-TRIAL-135/06, 135/06 |
Study First Received: | September 6, 2006 |
Last Updated: | January 5, 2009 |
ClinicalTrials.gov Identifier: | NCT00373438 History of Changes |
Health Authority: | Germany: Ethics Commission |
Congenital diaphragmatic hernia tracheal occlusion fetus |
fetal surgery fetoscopy ECMO |
Pathological Conditions, Anatomical Congenital Diaphragmatic Hernia Hernia |
Hernia, Diaphragmatic Disease Progression Anesthetics |
Pathological Conditions, Anatomical Hernia Hernia, Diaphragmatic |