Procedures

Procedures

All patients undergo a thorough ultrasound evaluation to confirm the diagnosis. Most diagnostic procedures are conducted in our state-of-the-art fetal therapy ultrasound suites. All surgeries and some diagnostic procedures are performed in our dedicated fetal therapy operating rooms at Jackson Memorial Hospital, the University of Miami Miller School of Medicine’s primary teaching hospital.

Depending on the condition, different diagnostic or therapeutic techniques are offered:

  • High resolution ultrasound, including 3-D, Color and Pulsed Doppler
  • Fetal MRI
  • Amniocentesis
  • Chorionic villus sampling and placental biopsy
  • Cordocentesis
  • Vesicocentesis
  • Thoracocentesis
  • Diagnostic fetoscopy
  • Fetal cystoscopy
  • Intravascular fetal transfusion
  • Selective laser photocoagulation of communicating vessels for twin-twin transfusion syndrome
  • Fetal shunting procedures including the Q-shunt, for treatment of lower urinary tract obstruction (LUTO); shunt created at UM/Jackson
  • Percutaneous intraluminal tracheal occlusion for congenital diaphgragmatic hernia (CDH) using the Quintero modified Z-stent
  • Fetal sclerosing procedures
  • Amniopatch for iatrogenic premature rupture of membranes (iPROM)
  • Amniograft
  • Fetal cardiac surgery for critical aortic stenosis, pulmonary stenosis, hypoplastic left heart with intact atrial septum
  • Laser surgery for type II Vasa Previa
  • Treatment of complicated monochorionic twins including twin reverse arterial perfusion
  • (TRAP) and selective intrauterine growth restriction (SIUGR)
  • Minimally invasive therapy for cystic adenomatoid malformation of the lung (CCAM)/pulmonary sequestration