1. Fetoscopic surgery in triplet pregnancies: a multicenter case series.
- Author
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Van Schoubroeck D, Lewi L, Ryan G, Carreras E, Jani J, Higueras T, Deprest J, and Gratacos E
- Subjects
- Adult, Belgium epidemiology, Chorion, Female, Fetofetal Transfusion mortality, Fetofetal Transfusion pathology, Heart Defects, Congenital mortality, Heart Defects, Congenital pathology, Humans, Ontario epidemiology, Pregnancy, Spain epidemiology, Survival Analysis, Fetofetal Transfusion surgery, Fetoscopy, Heart Defects, Congenital surgery, Laser Coagulation, Triplets
- Abstract
Objective: The purpose of this study was to evaluate the feasibility of fetoscopic surgery in complicated monochorionic and dichorionic triplet pregnancies., Study Design: This was a case series of fetoscopic surgery in 12 cases of monochorionic (n = 5) or dichorionic (n = 7) triamniotic triplets complicated by severe feto-fetal transfusion (n = 8), twin reversed arterial perfusion sequence (n = 3), or discordant for an anomaly (n = 1). Six underwent cord occlusion, and 6 had laser coagulation of the vascular anastomoses., Results: All procedures were successfully completed, and the outcome was comparable to that reported for similar procedures in twins. Eighty-three percent of fetuses survived, and 13% had long-term problems., Conclusion: Fetoscopic surgery may be considered as a therapeutic option in complicated triplet pregnancies, with results similar to those found in twins.
- Published
- 2004
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