Fetoscopy-guided bipolar cord coagulation in selective fetal reduction with complicated monochorionic diamniotic twins: a prospective cohort study. (12th December 2022)

• Record Type: Journal Article
• Authors: Tang, Hui R.; Dai, Chen Y.; Li, Jie; Dai, Yi M.; Ru, Tong; Li, Ya L.; Xiao, Xian; Fan, Zhong T.; Hu, Ya L.; Zheng, Ming M.
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 35:Number 25(2022)
• Page Start: 7744
• Page End: 7747
• Publication Date: 2022-12-12
• Subjects: Fetoscopy -- bipolar cord coagulation -- monochorionic diamniotic -- fetal reduction -- twin pregnancy; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.1080/14767058.2021.1961725
• Languages: English
• ISSNs: 1476-7058

Abstract

Abstract: Objective: To assess the feasibility of fetoscopy-guided bipolar umbilical cord coagulation for selective fetal reduction in complicated monochorionic diamniotic (MCDA) twin pregnancies. Methods: MCDA twins undergoing fetoscopy-guided bipolar cord coagulation (BCC) were enrolled prospectively between December 2015 to March 2020 in a fetal medicine center. Results: Twenty-three cases undergoing fetoscopy-guided BCC were finally analyzed, including 11 cases for type 2 selective intrauterine growth restriction, 4 cases for twin–twin transfusion syndrome, and 8 cases for a severe discordant anomaly. The overall survival rate was 78.3% (18/23). Conclusions: Fetoscopy‐guided BCC is effective for selective fetal reduction in complicated monochorionic twin pregnancies.