期刊
SEMINARS IN PEDIATRIC SURGERY
卷 32, 期 4, 页码 -出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.sempedsurg.2023.151336
关键词
Artificial placenta; Artificial womb; ELGANs; ECLS; Prematurity
This article reviews the current approaches and challenges in the treatment of extremely low gestational age newborns and explores the use of artificial placenta or artificial womb to recreate the fetal environment. Further research is needed for specific clinical indications and ethical considerations.
Outcomes for extremely low gestational age newborns (ELGANs), defined as <28 weeks estimated gestational age (EGA), remain disproportionately poor. A radical paradigm shift in the treatment of prematurity is to recreate the fetal environment with extracorporeal support and provide an environment for organ maturation using an extracorporeal VV-ECLS artificial placenta (AP) or an AV-ECLS artificial womb (AW). In this article, we will review clinical indications, current approaches in development, ongoing challenges, remaining milestones and ethical considerations prior to clinical translation.
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