The North American Fetal Therapy Network Registry Data on Outcomes of Radiofrequency Ablation for Twin-Reversed Arterial Perfusion Sequence

2013 ◽  
Vol 33 (4) ◽  
pp. 224-229 ◽  
Author(s):  
Hanmin Lee ◽  
Michael Bebbington ◽  
Timothy M. Crombleholme
Keyword(s):  
Radiofrequency Ablation ◽  
North American ◽  
Registry Data ◽  
Fetal Therapy ◽  
Arterial Perfusion ◽  
The North ◽  
Twin Reversed Arterial Perfusion

Twin reversed arterial perfusion (TRAP) sequence managed at 11+6 weeks with radiofrequency ablation

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Gwangjun Kim ◽  
Min Young Park ◽  
Seung Su Han
Keyword(s):  
Case Report ◽  
Radiofrequency Ablation ◽  
Gestational Age ◽  
Feeding Artery ◽  
First Line ◽  
Arterial Perfusion ◽  
Trap Sequence ◽  
Twin Reversed Arterial Perfusion ◽  
Line Management

AbstractRadiofrequency ablation (RFA) has become widely accepted as first-line management for twin reversed arterial perfusion (TRAP) sequence. Most RFA procedures have been performed using RFA needles of 14–17 gauge (G) focusing on an acardiac mass at an average age of 21 weeks of gestation (17–24 weeks). In this case report, we describe treatment of TRAP sequence using RFA with a 20 G needle focusing a feeding artery on the placental surface at gestational age of 11+6.

Fetal therapy in twin reversed arterial perfusion sequence pregnancies with alcohol ablation or bipolar cord coagulation

2008 ◽  
Vol 278 (6) ◽  
pp. 541-545 ◽  
Author(s):  
Ahmet Gul ◽  
Kemal Gungorduk ◽  
Gokhan Yildirim ◽  
Ali Gedikbasi ◽  
Dogukan Yildirim ◽  
...  
Keyword(s):  
Fetal Therapy ◽  
Alcohol Ablation ◽  
Arterial Perfusion ◽  
Twin Reversed Arterial Perfusion

Radiofrequency Ablation with an Internally Cooled Electrode for Twin Reversed Arterial Perfusion Sequence

2016 ◽  
Vol 40 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Maiko Wagata ◽  
Takeshi Murakoshi ◽  
Keisuke Ishii ◽  
Jin Muromoto ◽  
Jun Sasahara ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Color Doppler ◽  
Fetal Demise ◽  
Arterial Perfusion ◽  
Trap Sequence ◽  
Internally Cooled ◽  
Gestational Age At Delivery ◽  
Twin Pregnancies ◽  
Twin Reversed Arterial Perfusion ◽  
Pump Twin

Objective: The study aims to evaluate the efficacy of radiofrequency ablation (RFA) with an internally cooled electrode for twin reversed arterial perfusion (TRAP) sequence. Methods: From April 2008 through December 2014, we retrospectively reviewed all patients who underwent RFA with an internally cooled electrode for TRAP sequence at 3 tertiary referral centers in Japan. Results: Twenty-five monochorionic diamniotic twin pregnancies underwent RFA with an internally cooled electrode for TRAP sequence at 16-27 weeks of gestation. In all cases, umbilical cord blood flow cessation in the acardiac twin was confirmed by ultrasonography with color Doppler. There were 2 cases of procedure-related complications: 1 case of unintentional septostomy and 1 case of anemia in a pump twin. Fetal demise of the pump twin occurred in 3 (12%) cases. Twenty-two (88%) of 25 pump twins were delivered alive. The median gestational age at delivery was 36 + 3 weeks (range 25 + 2-40 + 5 weeks). There were 14 cases (64%) of premature deliveries before 37 weeks and 5 (23%) before 32 weeks. Conclusion: RFA with an internally cooled electrode is a feasible and effective procedure for the treatment of TRAP sequence.

scholarly journals OP22.05: Postnatal outcome in twin reversed arterial perfusion treated with radiofrequency ablation

2009 ◽  
Vol 34 (S1) ◽  
pp. 133-133
Author(s):  
S. Hayashi ◽  
H. Sago ◽  
M. Hanaoaka ◽  
M. Horiya ◽  
A. Anami ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Arterial Perfusion ◽  
Postnatal Outcome ◽  
Twin Reversed Arterial Perfusion
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