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BibTeX
Cord occlusion followed by laser cord transection in monochorionic monoamniotic discordant twins
Ultrasound in obstetrics & gynecology, 2011-06, Vol.37 (6), p.684-688
Valsky, D. V.
Martinez‐Serrano, M.‐J.
Sanz, M.
Eixarch, E.
Acosta, E.‐R.
Martinez, J.‐M.
Puerto, B.
Gratacós, E.
2011
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Valsky, D. V.
Martinez‐Serrano, M.‐J.
Sanz, M.
Eixarch, E.
Acosta, E.‐R.
Martinez, J.‐M.
Puerto, B.
Gratacós, E.
Titel
Cord occlusion followed by laser cord transection in monochorionic monoamniotic discordant twins
Ist Teil von
Ultrasound in obstetrics & gynecology, 2011-06, Vol.37 (6), p.684-688
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2011
Quelle
MEDLINE
Beschreibungen/Notizen
Objective To compare the outcomes of a consecutive case series of monochorionic (MC) monoamniotic (MA) discordant twins treated with umbilical cord occlusion and transection, with those of a cohort of MC diamniotic (DA) twins treated with conventional cord occlusion. Methods This study included 17 MCMA twins (12 true MA and five iatrogenic) treated with cord occlusion and transection and a control group of 72 MCDA discordant twins treated during the same period with cord occlusion in a single center. Duration of surgery, rates of preterm delivery (PTD) or preterm premature rupture of membranes (PPROM) < 32 weeks and intrauterine fetal demise (IUFD), perinatal outcome and neonatal survival were prospectively recorded in both groups. Results Median durations of surgery were 28.5 (range, 14.0–74.0) min and 24.0 (3.0–60.0) min in the cord transection and control groups, respectively (P = 0.24). There were no significant differences between cord transection and control groups in the rates of PPROM (35.3% vs. 20.8%, P = 0.22), PTD (41.2% vs. 28.2%, P = 0.29), IUFD (0% vs. 2.8%, P = 1.0) and neonatal survival (76.5% vs. 80.6%, P = 1.0). Gestational age at delivery (median 35.0 (24.5–39.0) vs. 37.1 (26.2–41.0) weeks, P = 0.21) and fetal birth weight (2215 (800–3200) g vs. 2605 (588–3830) g, P = 0.51) were similar between study groups. Conclusion Cord occlusion and transection in MCMA discordant twins resulted in similar perinatal outcomes to those of MCDA discordant twins treated with cord occlusion. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 0960-7692, 1469-0705
eISSN: 1469-0705
DOI: 10.1002/uog.8924
Titel-ID: cdi_proquest_miscellaneous_868998469
Format
–
Schlagworte
Adolescent
,
Adult
,
Biological and medical sciences
,
Birth Weight
,
cord transection
,
Dopamine
,
Female
,
Fetal Diseases - surgery
,
Fetoscopy - methods
,
Fetuses
,
Gestational Age
,
Gynecology
,
Gynecology. Andrology. Obstetrics
,
Humans
,
Infant, Newborn
,
Laser Therapy - methods
,
Lasers
,
Medical sciences
,
monoamniotic twins
,
monochorionic twins
,
Neonates
,
Obstetrics
,
Occlusion
,
Pregnancy
,
Pregnancy Reduction, Multifetal - methods
,
Rupture
,
selective feticide
,
Surgery
,
Survival
,
Twins
,
Ultrasound
,
Umbilical cord
,
Umbilical Cord - abnormalities
,
Umbilical Cord - blood supply
,
Umbilical Cord - surgery
,
umbilical cord occlusion
,
Young Adult
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