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001-es BibID:BIBFORM068395
Első szerző:Chaveeva, Petya
Cím:Embryo Reduction in Dichorionic Triplets to Dichorionic Twins by Intrafetal Laser / Chaveeva Petya, Kosinski Przemek, Birdir Cahit, Orosz Laszlo, Nicolaides Kypros H.
Dátum:2014
ISSN:1015-3837
Megjegyzések:Objective: To describe a new technique for embryo reduction (ER) in dichorionic triplet (DCT) pregnancies. Methods: In 22 DCT pregnancies, ER to dichorionic twins was carried out at 11.3-13.9 weeks' gestation by ultrasound-guided laser ablation of the pelvic vessels of one of the monochorionic twins. Results: Intrafetal laser was successfully carried out in all cases, but ultrasound examination within 2 weeks of the procedure demonstrated that the co-twin had died in 11 cases and was alive in the other 11. In the dichorionic group there was one miscarriage at 23 weeks due to cervical incompetence and in the other 10 cases there were two live births at a median gestational age of 35.0 (range 32.2-37.1) weeks. In the 11 cases where both monochorionic fetuses died the separate triplet was live born at a median gestation of 38.0 (range 32.2-40.5) weeks. Conclusions: In the management of DCT pregnancies, ER to dichorionic twins by intrafetal laser is an additional option to the traditional ones of expectant management, ER by intrafetal injection of potassium chloride (KCl) to monochorionic twins or ER by KCl to singleton.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Dichorionic triplets
Megjelenés:Fetal Diagnosis And Therapy 35 : 2 (2014), p. 83-86. -
További szerzők:Kosinski, Przemek Birdir, Cahit Orosz László (1984-) (szülész-nőgyógyász) Nicolaides, Kypros H.
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001-es BibID:BIBFORM068393
Első szerző:Peeva, Gergana
Cím:Endoscopic Placental Laser Coagulation in Monochorionic Diamniotic Twins with Type II Selective Fetal Growth Restriction / Peeva Gergana, Bower Sarah, Orosz Laszlo, Chaveeva Petya, Akolekar Ranjit, Nicolaides Kypros H.
Dátum:2015
ISSN:1015-3837
Megjegyzések:Objective: To determine predictors of survival in monochorionic diamniotic twins with selective fetal growth restriction type II (sFGR-II), with or without twin-to-twin transfusion syndrome (TTTS), treated by endoscopic placental laser coagulation. Methods: Laser surgery was performed at 20 (15-27) weeks' gestation in 405 cases of sFGR-II with and 142 without coexisting TTTS. Multivariable logistic regression analysis was performed to determine significant predictors of survival to discharge from hospital. Results: There was survival of the small twin in 216 (39.5%) and of the large twin in 379 (69.3%) cases. Significant predictors of survival of both the small and larger twin were ductus venosus Doppler findings in the small twin, gestational age at laser and cervical length, but not the presence of TTTS or Doppler findings in the large twin. Conclusions: In sFGR-II, survival after laser surgery is primarily dependent on the condition of the small twin.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Monochorionic twins
Megjelenés:Fetal Diagnosis And Therapy 38 : 2 (2015), p. 86-93. -
További szerzők:Bower, Sarah Orosz László (1984-) (szülész-nőgyógyász) Chaveeva, Petya Akolekar, Ranjit Nicolaides, Kypros H.
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