Endoscopic Laser Dichorionization of the Placenta in the Treatment of Severe Twin-Twin Transfusion Syndrome

dc.creatorPeralta, CFA
dc.creatorMolina, FS
dc.creatorGomez, LF
dc.creatorBennini, JR
dc.creatorNeto, OG
dc.creatorBarini, R
dc.date2013
dc.date2014-07-30T17:19:33Z
dc.date2015-11-26T17:47:01Z
dc.date2014-07-30T17:19:33Z
dc.date2015-11-26T17:47:01Z
dc.date.accessioned2018-03-29T00:29:36Z
dc.date.available2018-03-29T00:29:36Z
dc.identifierFetal Diagnosis And Therapy. Karger, v. 34, n. 4, n. 206, n. 210, 2013.
dc.identifier1015-3837
dc.identifier1421-9964
dc.identifierWOS:000327580200002
dc.identifier10.1159/000354898
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/64761
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/64761
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1288656
dc.descriptionObjectives: To describe the results of a technique of laser ablation of placental vessels in the treatment of severe twin-twin transfusion syndrome (TTTS), which is characterized by separation of the fetoplacental vascular territories and dichorionization of the placenta. Patients and Methods: Descriptive analysis of TTTS cases treated with the endoscopic laser dichorionization of the placenta (ELDP) procedure. The variables evaluated were the occurrence of reversal of the donor-recipient phenotype, persistence of TTTS or twin anemia-polycythemia sequence (TAPS); gestational age at delivery; discharge from the hospital of at least 1 or 2 live neonates, and incidence of neurological alterations among survivors. Results: 67 patients were treated with the ELDP procedure. There was no persistence of TITS, reversal of the donor-recipient phenotype or TAPS. The median gestational age at delivery was 33.0 (23.6-37.7) weeks. The rate of discharge from the hospital of at least 1 or 2 live neonates was 88.2% (67/76) and 71.1% (54/76), respectively. Among survivors, 17 (17/121 = 14.0%) children presented with neurodevelopmental alterations during clinical follow-up. Conclusions: The major contribution of this study was the demonstration that the ELDP technique appears to be associated with a low risk of persistence or recurrence of TTTS and TAPS. (C) 2013 S. Karger AG, Basel
dc.description34
dc.description4
dc.description206
dc.description210
dc.languageen
dc.publisherKarger
dc.publisherBasel
dc.publisherSuíça
dc.relationFetal Diagnosis And Therapy
dc.relationFetal Diagn. Ther.
dc.rightsfechado
dc.rightshttp://www.karger.com/Services/RightsPermissions
dc.sourceWeb of Science
dc.subjectTwin pregnancy complication
dc.subjectTwin-twin transfusion syndrome
dc.subjectTwin oligo-polyhydramnios sequence
dc.subjectTwin anemia-polycythemia sequence
dc.subjectLaser photocoagulation of placental vessels
dc.subjectFetoscopy
dc.subjectFetal therapy
dc.subjectSerial Amnioreduction
dc.subjectCommunicating Vessels
dc.subjectPhotocoagulation
dc.subjectAnastomoses
dc.subjectSurgery
dc.subjectMetaanalysis
dc.subjectCoagulation
dc.subjectManagement
dc.subjectFrequency
dc.subjectTherapy
dc.titleEndoscopic Laser Dichorionization of the Placenta in the Treatment of Severe Twin-Twin Transfusion Syndrome
dc.typeArtículos de revistas


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