Outcome after fetoscopic selective laser ablation of placental anastomoses vs equatorial laser dichorionization for the treatment of twin-to-twin transfusion syndrome

Ahmet Baschat, James Barber, Nicole Pedersen, Ozhan M. Turan, Chris R. Harman

Research output: Contribution to journalArticle

Abstract

Objective: The objective of the study was to compare the outcome in women with twin-twin transfusion syndrome (TTTS) who were managed by selective laser ablation of placental anastomoses (S-LASER) vs equatorial dichorionization of the anastomoses and chorionic plate (ED-LASER). Study Design: We conducted an analysis of 2 consecutive cohorts with TTTS treated with S-LASER and ED-LASER. Preoperative, procedural, delivery, and outcome details were compared between treatment groups. Results: A total of 147 twin pregnancies had laser (S-LASER, n = 71; ED-LASER, n = 76). Obstetric history, Quintero stage, placental location, individual arterial and venous Doppler parameters, and gestational age at laser and delivery did not differ. Use of lens fetoscope (96.1% vs 50.7%), coagulated anastomosis count (11 vs 15, P

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume209
Issue number3
DOIs
StatePublished - Sep 2013
Externally publishedYes

Fingerprint

Fetofetal Transfusion
Laser Therapy
Fetoscopes
Lasers
Twin Pregnancy
Lenses
Gestational Age
Obstetrics
History
Therapeutics
2-(3-hydroxypropoxy)-1,25-dihydroxyvitamin D3

Keywords

  • equatorial dichorionization
  • fetoscopy
  • laser
  • twin-twin transfusion

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Outcome after fetoscopic selective laser ablation of placental anastomoses vs equatorial laser dichorionization for the treatment of twin-to-twin transfusion syndrome. / Baschat, Ahmet; Barber, James; Pedersen, Nicole; Turan, Ozhan M.; Harman, Chris R.

In: American Journal of Obstetrics and Gynecology, Vol. 209, No. 3, 09.2013.

Research output: Contribution to journalArticle

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AU - Harman, Chris R.

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