+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Stage-related outcome after fetoscopic laser ablation in twin-to-twin transfusion syndrome



Stage-related outcome after fetoscopic laser ablation in twin-to-twin transfusion syndrome



Fetal Diagnosis and Therapy 36(4): 287-292



To review the perinatal outcome of twin-to-twin transfusion syndrome (TTTS) treated with fetoscopic laser coagulation in a developing country with detailed analysis according to the stage of the syndrome. This was a retrospective study of 85 TTTS cases treated with fetoscopic laser coagulation at the Fetal Diagnosis and Treatment Unit of Istanbul Faculty of Medicine between January 2006 and March 2013. The surgical failure rate was 5.8% (5/85). Among all the cases of the total cohort, only 1 fetus survived in 27 pregnancies (31.8%), and both fetuses survived in 22 pregnancies (25.9%). In 49 pregnancies (57.6%) at least one fetus survived at the end of the neonatal period. The overall survival and live birth rates were 41.8% (71/170) and 56.4% (96/170), respectively, and they significantly decreased as the stage of disease increased. Delivery occurred before 32 weeks of gestation in 54 (63.5%) pregnancies. Logistic regression analysis showed that gestational age at delivery was the only independent factor, and the risk of nonsurvival significantly decreased with increasing age. Based on our experience, the outcome of fetoscopic laser coagulation of the placental anastomoses for TTTS became worse as the Quintero stage of the disease advanced.

(PDF emailed within 0-6 h: $19.90)

Accession: 055902329

Download citation: RISBibTeXText

PMID: 25096484

DOI: 10.1159/000362385


Related references

Fetoscopic laser ablation (FLA) for severe twin to twin transfusion syndrome (TTTS): does quintero stage influence outcome?. Archives of Disease in Childhood - Fetal and Neonatal Edition 96(Supplement 1): Fa54-Fa54, 2011

Isolated Ascites in a Monochorionic Twin after Fetoscopic Laser Ablation Is Not Necessarily Secondary to Recurrence or Anaemia: Bowel Complications in Twin-to-Twin Transfusion Syndrome after Fetoscopic Laser Ablation. Fetal Diagnosis and Therapy 2018: 1-10, 2018

Stage-related outcome in twin-twin transfusion syndrome treated by fetoscopic laser coagulation. Obstetrics and Gynecology 108(2): 333-337, 2006

Outcome of fetoscopic laser ablation (FLA) for severe twin to twin transfusion syndrome (TTTS): does gestation at which laser is performed influence outcome?. Archives of Disease in Childhood - Fetal and Neonatal Edition 96(Supplement 1): Fa56-Fa56, 2011

Severe twin-twin transfusion syndrome: outcome after fetoscopic laser ablation of the placental vascular equator. Bjog 114(6): 689-693, 2007

Outcome after fetoscopic selective laser ablation of placental anastomoses vs equatorial laser dichorionization for the treatment of twin-to-twin transfusion syndrome. American Journal of Obstetrics and Gynecology 209(3): 234.E1-8, 2013

Does operator experience influence outcome of fetoscopic laser ablation (FLA) for severe twin to twin transfusion syndrome (TTTS)?. Archives of Disease in Childhood - Fetal and Neonatal Edition 96(Supplement 1): Fa55-Fa55, 2011

Outcome following selective fetoscopic laser ablation for twin to twin transfusion syndrome: an 8 year national collaborative experience. European Journal of Obstetrics, Gynecology, and Reproductive Biology 191(): 125-129, 2016

Outcome after fetoscopic selective laser ablation of placental anastomoses versus equatorial laser dichorionization for the treatment of Twin-to-Twin Transfusion Syndrome. 2013

Outcome of fetoscopic laser ablation for twin-to-twin transfusion syndrome in dichorionic-triamniotic triplets compared with monochorionic-diamniotic twins. Ultrasound in Obstetrics & Gynecology 44(5): 545-549, 2015

Fetal cardiac function in recipient twins undergoing fetoscopic laser ablation of placental anastomoses for Stage IV twin-twin transfusion syndrome. Ultrasound in Obstetrics & Gynecology 42(1): 64-69, 2014

Fetal Cardiac Function In Recipient Twins Undergoing Fetoscopic Laser Ablation Of Placental Anastomoses For Stage Iv Twin-Twin Transfusion Syndrome TTTS. Ultrasound in Obstetrics & Gynecology 42(1): n/a-n/a, 2013

Fetoscopic laser ablation for severe twin to twin transfusion syndrome: factors influencing perinatal outcome; including 'learning' curve of the procedure - lessons for new centres. Archives of Disease in Childhood - Fetal and Neonatal Edition 95(Supplement 1): Fa4-Fa5, 2010

Fetal Survival Immediate after Fetoscopic Laser Ablation in Twin to Twin Transfusion Syndrome. Journal of Korean Medical Science 34(3): E20-E20, 2019

Intestinal complications after antenatal fetoscopic laser ablation in twin-to-twin transfusion syndrome. Journal of Pediatric Surgery 45(1): E5-E8, 2010