Risk factors for fetal death after radiofrequency ablation for complicated monochorionic twin pregnancies
| Autor: | Yingjun Yang, Duan Tao, Luming Sun, Gang Zou, Fenhe Zhou |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
China medicine.medical_specialty Radiofrequency ablation Twin reversed arterial perfusion Intrauterine growth restriction law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Pregnancy Risk Factors law Humans Medicine 030212 general & internal medicine Fetal Death Genetics (clinical) Radiofrequency Ablation Fetus 030219 obstetrics & reproductive medicine Fetal death business.industry Obstetrics Obstetrics and Gynecology Twins Monozygotic medicine.disease Pregnancy Reduction Multifetal Fetal Diseases surgical procedures operative Pregnancy Twin Female Monochorionic twins business therapeutics Fetal reduction |
| Zdroj: | Prenatal Diagnosis. 38:499-503 |
| ISSN: | 0197-3851 |
| DOI: | 10.1002/pd.5269 |
| Popis: | Objective Radiofrequency ablation (RFA) is a management alternative for complicated monochorionic twin pregnancies. The purpose of this study is to evaluate risk factors for fetal death after RFA. Methods An observational study was performed to document the perinatal outcomes of all cases undergoing fetal reduction using RFA from 2010 to 2016 at the Shanghai First Maternity and Infant Hospital. A multiple regression model was built to identify predictors of the death of the remaining fetus after RFA. Results A total of 183 patients treated with RFA for fetal reduction were analyzed, including 53 selective intrauterine growth restriction, 35 twin-twin transfusion syndrome, 36 dichorionic triamniotic triplets, 24 monochorionic twins discordant for fetal anomaly, and 35 twin reversed arterial perfusion. The prevalence of fetal death after RFA was 23% (43:183). The occurrence of fetal death after RFA was independently associated with more than 2 cycles of RFA coagulation (OR 3.46; 95% CI, 1.34-8.94; P = .01). Conclusion More than 2 cycles of RFA coagulation is the only independent risk factors of fetal death after RFA. |
| Databáze: | OpenAIRE |
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