Fetoscopic laser therapy for twin-twin transfusion syndrome before 17 and after 26 weeks' gestation.

Details

Serval ID
serval:BIB_2EC7ADB999F2
Type
Article: article from journal or magazin.
Collection
Publications
Title
Fetoscopic laser therapy for twin-twin transfusion syndrome before 17 and after 26 weeks' gestation.
Journal
American Journal of Obstetrics and Gynecology
Author(s)
Baud D., Windrim R., Keunen J., Kelly E.N., Shah P., van Mieghem T., Seaward P.G., Ryan G.
ISSN
1097-6868 (Electronic)
ISSN-L
0002-9378
Publication state
Published
Issued date
2013
Volume
208
Number
3
Pages
197.e1-197.e7
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
OBJECTIVE: The purpose of this study was to compare perinatal outcomes of pregnancies that undergo "early" (<17 weeks' gestation) or "late" (>26 weeks' gestation) fetoscopic laser ablation of placental vascular anastomoses for twin-twin transfusion syndrome (TTTS) with "conventional" cases that were treated at 17-26 weeks' gestation.
STUDY DESIGN: We conducted a single center, retrospective analysis of 325 consecutive pregnancies that underwent fetoscopic laser therapy for severe TTTS.
RESULTS: Twenty-four "early," 18 "late," and 283 "conventional" pregnancies with severe TTTS underwent laser therapy. Fetoscopy duration, gestation at delivery, survival rate, and complications were comparable among groups, except for preterm premature rupture of membranes at <7 days after laser therapy, which was more common in the "early" group than in either of the other 2 groups.
CONCLUSION: Laser therapy for TTTS at <17 or >26 weeks' gestation has similar outcomes to procedures done at 17-26 weeks' gestation. We suggest that conventional gestational age guidelines of 16-26 weeks for laser therapy for TTTS should be reevaluated.
Keywords
Adolescent, Adult, Female, Fetofetal Transfusion/surgery, Fetoscopy/methods, Gestational Age, Humans, Laser Therapy/methods, Middle Aged, Pregnancy, Pregnancy Trimester, Second, Pregnancy Trimester, Third, Retrospective Studies, Treatment Outcome
Pubmed
Web of science
Create date
28/01/2014 15:40
Last modification date
20/08/2019 13:13
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