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EP25.01: Outcomes of 61 consecutive fetoscopic laser coagulations for severe Twin–twin transfusion syndrome in Abu Dhabi
Author(s) -
Diehl W.,
Bricker L.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21638
Subject(s) - medicine , fetoscopy , twin to twin transfusion syndrome , anastomosis , abu dhabi , obstetrics , polyhydramnios , laser coagulation , surgery , amniotic fluid , pregnancy , fetus , prenatal diagnosis , genetics , metropolitan area , visual acuity , pathology , biology
FLC was performed under local anesthesia and selective coagulation using Solomon technique in areas with conglomerate anastomoses was undertaken. Areas clear from anastomoses were spared to minimize placental scarring. As diagnostic criteria and surgical technique Conclusions: In order to achieve outcomes of FLC in severe TTTS comparable to major international fetal therapy centers, strict use of standardized diagnostic criteria and surgical technique, as well as centralization of experience are of key importance. However, local promotion of diagnosis awareness and treatment availability, along with improvements in referral system and insurance coverage are further required. are alike, comparable outcome measures were obtained (Diehl W. et al. Fetoscopic laser coagulation in 1020 pregnancies with twin–twin transfusion syndrome demonstrates improvement in double-twin survival rate. Ultrasound Obstet Gynecol 2017; 50: 728–735).