Fetoscopy-guided bipolar cord coagulation in selective fetal reduction with complicated monochorionic diamniotic twins: a prospective cohort study

To assess the feasibility of fetoscopy-guided bipolar umbilical cord coagulation for selective fetal reduction in complicated monochorionic diamniotic (MCDA) twin pregnancies. MCDA twins undergoing fetoscopy-guided bipolar cord coagulation (BCC) were enrolled prospectively between December 2015 to M...

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Published inThe journal of maternal-fetal & neonatal medicine p. 1
Main 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
Format Journal Article
LanguageEnglish
Published England 01.01.2022
Subjects
monochorionic diamniotic
bipolar cord coagulation
Fetoscopy
fetal reduction
twin pregnancy
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Summary:To assess the feasibility of fetoscopy-guided bipolar umbilical cord coagulation for selective fetal reduction in complicated monochorionic diamniotic (MCDA) twin pregnancies. MCDA twins undergoing fetoscopy-guided bipolar cord coagulation (BCC) were enrolled prospectively between December 2015 to March 2020 in a fetal medicine center. 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). Fetoscopy-guided BCC is effective for selective fetal reduction in complicated monochorionic twin pregnancies.
ISSN:1476-4954
DOI:10.1080/14767058.2021.1961725