Twin-Twin Transfusion Syndrome with and without Selective Fetal Growth Restriction Prior to Fetoscopic Laser Surgery: Short and Long-Term Outcome.
neurodevelopmental outcome
selective fetal growth restriction
survival
twin-twin transfusion syndrome
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
03 Jul 2019
03 Jul 2019
Historique:
received:
13
06
2019
revised:
02
07
2019
accepted:
02
07
2019
entrez:
7
7
2019
pubmed:
7
7
2019
medline:
7
7
2019
Statut:
epublish
Résumé
As twin-twin transfusion syndrome (TTTS) and selective fetal growth restriction (sFGR) are both prevalent complications of monochorionic (MC) twin pregnancies, its coexistence is not uncommon. The aim of this study is to evaluate the short and long-term outcome in TTTS with and without sFGR prior to fetoscopic laser coagulation. All TTTS cases treated with laser surgery at our center between 2001-2019 were retrospectively reviewed for the presence of sFGR, defined as an estimated fetal weight (EFW) <10th centile. We compared two groups: TTTS-only and TTTS + sFGR. Primary outcomes were perinatal survival and long-term severe neurodevelopmental impairment (NDI). Of the 527 pregnancies eligible for analysis, 40.8% (
Identifiants
pubmed: 31277319
pii: jcm8070969
doi: 10.3390/jcm8070969
pmc: PMC6679158
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Hartstichting
ID : 2017T075
Déclaration de conflit d'intérêts
The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
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