Tchirikov, Michael and Oshovskyy, Viktor and Steetskamp, Joscha and Falkert, Andreas and Huber, Georgine and Entezami, Michael (2011) Neonatal outcome using ultrathin fetoscope for laser coagulation in twin-to-twin-transfusion syndrome. JOURNAL OF PERINATAL MEDICINE, 39 (6). pp. 725-730. ISSN 0300-5577,
Full text not available from this repository. (Request a copy)Abstract
Objective: To improve neonatal outcome using ultrathin fetoscope for laser treatment of twin-to-twin transfusion syndrome. Methods: Retrospective cohort study of a series of 80 cases of twin-to-twin-transfusion syndrome prior to 26 weeks' gestation subjected to laser coagulation by means of a 1.0/1.2 mm fiber fetoscope with a sheath sectional area 2.65 mm(2)/3.34 mm(2) (n=27) and a 2.0 mm classic lens fetoscope with a sheath sectional area: 6.63 mm(2)/11.27 mm(2) (n=53). Results: The survival rates of at least one twin in the compared groups were 94.4% (classic optic) and 100% (ultrathin optic), for both twins: 75.5% and 83.3%, respectively. By decreasing sheath diameter a pregnancy was prolonged by an average of 21.3 days (P=0.0045), with a resulting increase in the recipient's weight of 389 g (P=0.0049) and an increase in the donor's Apgar score. However, the intervention with ultrathin optic took 11 min longer (P=0.031). Conclusion: The reduction of the iatrogenic damage of the amniotic membrane using ultrathin fetoscope with a small sheath, significantly improves the neonatal outcome after laser treatment of twin-to-twin-transfusion syndrome. The operator should only commence working with the 1 mm fetoscope after the learning curve has been accomplished.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | FETAL SURGERY; TRACHEAL OCCLUSION; PREMATURE RUPTURE; MEMBRANES; PHOTOCOAGULATION; EXPERIENCE; MANAGEMENT; CELLS; 1.0 mm Fetoscope; laser coagulation; monochorionic pregnancy; neonatal outcome; twin-to-twin transfusion syndrome |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 27 May 2020 09:46 |
| Last Modified: | 27 May 2020 09:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/19906 |
Actions (login required)
 |
View Item |
