Clinical Outcomes after Selective Fetal Reduction of Complicated Monochorionic Twins with Radiofrequency Ablation and Bipolar Cord Coagulation

2016 ◽  
Vol 81 (6) ◽  
pp. 552-558 ◽  
Author(s):  
Ruan Peng ◽  
Hong-Ning Xie ◽  
Mei-Fang Lin ◽  
Jian-Bo Yang ◽  
Yi Zhou ◽  
...  
Author(s):  
Vatsla Dadhwal ◽  
Aparna K. Sharma ◽  
Dipika Deka ◽  
Latika Chawla ◽  
Nutan Agarwal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fatemeh Rahimi-Sharbaf ◽  
Marjan Ghaemi ◽  
Ahmed A. Nassr ◽  
Alireza A. Shamshirsaz ◽  
Mahboobeh Shirazi

Abstract Background To evaluate the perinatal outcomes in women with complicated monochorionic diamniotic twins who underwent selective reduction using radiofrequency ablation (RFA). Methods This retrospective study included patients with complicated monochorionic diamniotic twins between 16 to 28 weeks who underwent selective reduction using RFA. Results During the study period, 143 women with complicated monochorionic twins underwent RFA including 52 with selective fetal growth restriction (sFGR), 48 with twin to twin transfusion syndrome (TTTS), 33 with major fetal anomalies in one of the twins, and 10 with reversed arterial perfusion sequence (TRAP). The overall survival was 71.3% (102/143). The procedures were technically successful in achieving selective termination in all cases. The mean ± SD of gestational age at the time of the procedure was 21.0 ± 2.3 weeks. The mean ± SD of gestational age at delivery was 34.6 ± 3.3 weeks. The mean ± SD of overall procedure-to-delivery time was 12 ± 1.7 weeks. The pregnancy success rates among sFGR, TRAP, TTTS and anomaly groups were 82.7, 80, 73 and 60.7% respectively. There were no maternal complications. Conclusion Radiofrequency ablation for fetal reduction in complicated monochorionic twin pregnancies appears to be a reasonable option. The pregnancy success rate following RFA selective reduction was highest among sFGR and TRAP groups and lowest in the anomaly group.


Author(s):  
Vatsla Dadhwal ◽  
Aparna K. Sharma ◽  
Dipika Deka ◽  
Latika Chawla ◽  
Nutan Agarwal

2005 ◽  
Vol 83 (5) ◽  
pp. S12
Author(s):  
M. Mitwally ◽  
H. Albuarki ◽  
M.H. Fakih ◽  
F.N. Shamma ◽  
J. Ayers ◽  
...  

2010 ◽  
Vol 52 (3) ◽  
pp. 380-388 ◽  
Author(s):  
Giacomo Germani ◽  
Maria Pleguezuelo ◽  
Kurinchi Gurusamy ◽  
Tim Meyer ◽  
Graziella Isgrò ◽  
...  

Author(s):  
Su Min Ha ◽  
Jin Yong Sung ◽  
Jung Hwan Baek ◽  
Dong Gyu Na ◽  
Ji-hoon Kim ◽  
...  

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