About this trial
The purpose of this research is to gather information on the safety and effectiveness of a procedure called Fetoscopic Endoluminal Tracheal Occlusion (FETO) at Mayo Clinic. The intent of the FETO procedure is to improve development of the lungs in fetuses diagnosed with severe congenital diaphragmatic hernia (CDH).
Eligibility criteria
Qualifiers
Singleton pregnancy
Normal fetal karyotype or microarray. Results by fluorescence in situ hybridization (FISH) will be acceptable if the patient is > 26 weeks
Isolated severe left CDH with O/E LHR < 25% )
Gestation age at enrollment prior to 29 wks plus 6 days.
Disqualifiers
Multi-fetal pregnancy
History of natural rubber latex allergy
Preterm labor, cervix shortened (<20 mm) at enrollment or within 24 hours of FETO balloon insertion procedure) or uterine anomaly strongly predisposing to preterm labor
Psychosocial ineligibility, precluding consent: inability to reside within 30 minutes of Mayo Clinic, Rochester and inability to comply with the travel for the follow-up requirements of the trial; patient does not have a support person (e.g. spouse, partner, mother) available to stay with the patient for the duration of the pregnancy at Mayo Clinic
Trial design
Treatments tested in this trial
- BALT GOLDBALL 2 detachable latex ballon
- BALTACCIBDPE100 Microcatheter
- Storz fetoscopic operating sheath and miniature telescope/fetoscope
Treatment groups
Sponsors and collaborators
Mauro H. Schenone
Lead sponsor
Mayo Clinic
Sponsor institution