Bipolar cord coagulation for selective feticide in complicated monochorionic twin pregnancies: 118 consecutive cases at a single center
| Autor: | M. Dell'Avanzo, Mariangela Rustico, S. Faiola, V. Schena, Andrea Righini, Dario Consonni, Mariano Lanna, Enrico Ferrazzi, Barbara Scelsa |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Pregnancy Radiological and Ultrasound Technology business.industry Birth weight Twin reversed arterial perfusion Obstetrics and Gynecology Gestational age General Medicine medicine.disease Single Center Surgery Miscarriage Reproductive Medicine Interquartile range Medicine Rupture of membranes Radiology Nuclear Medicine and imaging business |
| Zdroj: | Ultrasound in Obstetrics & Gynecology. 39:407-413 |
| ISSN: | 0960-7692 |
| DOI: | 10.1002/uog.11073 |
| Popis: | Objective To review the experience of performing selective feticide with bipolar cord coagulation (BCC) in complicated monochorionic (MC) twin pregnancies at a single center. Methods This was a retrospective analysis of BCC performed using 3-mm bipolar forceps under ultrasound control in cases complicated by twin-to-twin transfusion syndrome, selective growth restriction, discordant anomaly or twin reversed arterial perfusion sequence. Results The series comprised 118 cases with a median gestational age at the time of the procedure of 22 (range, 16–30) weeks. There were 14 (12%) intrauterine deaths of the cotwin, eight (7%) miscarriages and one (1%) termination of pregnancy. When BCC was performed before 19 weeks of gestation, the rate of miscarriage was 45%, whereas it was 3% (P |
| Databáze: | OpenAIRE |
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