Radiofrequency ablation for selective reduction in the complicated monochorionic gestation - 20/08/11
, Anthony Johnson, DO a, Karen Y. Moise, RN b, Volker Nickeleit, MD c
Reprints: Kenneth J. Moise Jr, MD, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Baylor College of Medicine, Texas Children’s Fetal Center, 6620 Main St, Suite 1100, Houston, TX 77030Résumé |
Objective |
This study was undertaken to describe the efficacy and safety of radiofrequency ablation for selective reduction in the treatment of complicated monochorionic gestations.
Study Design |
Case series of all consecutive patients treated at 1 institution. A 17-gauge radiofrequency needle was inserted under continuous ultrasound guidance into the fetal abdomen at the site of the umbilical cord insertion of the affected twin and radiofrequency energy delivered until cessation of vascular flow was documented with pulsed and color flow Doppler.
Results |
Nine patients with monochorionic twin gestations (1 set was part of a triplet gestation) underwent the radiofrequency ablation procedure. Gestational age at the procedure ranged between 18.6-22 weeks. Liveborn infants resulted in two-thirds of cases. Preterm premature rupture of the membranes occurred in 2 of the 9 cases. All liveborn neonates were alive and well.
Conclusion |
Radiofrequency ablation can be effectively used for selective reduction in complicated monochorionic gestations.
Le texte complet de cet article est disponible en PDF.Key words : bipolar cautery, discordant anomalies, monochorionic twins, radiofrequency ablation, selective reduction
Plan
| Cite this article as: Moise Jr KJ, Johnson A, Moise KY, Nickeleit V. Radiofrequency ablation for selective reduction in the complicated monochorionic gestation. Am J Obstet Gynecol 2008;198:198.e1-198.e5. |
Vol 198 - N° 2
P. 198.e1-198.e5 - février 2008 Retour au numéro
Article précédent
- Paternal race and bacterial vaginosis during the first trimester of pregnancy
- Hyagriv N. Simhan, Lisa M. Bodnar, Marijane A. Krohn
- Circulating angiogenic factors in singleton vs multiple-gestation pregnancies
- Sharon E. Maynard, Tiffany A. Moore Simas, Matthew J. Solitro, Abraham Rajan, Sybil Crawford, Peter Soderland, Bruce A. Meyer
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?