Establishing a national program for fetoscopic guided laser occlusion for twin-to-twin transfusion syndrome in Sweden

Acta Obstetricia Et Gynecologica Scandinavica
Sverker EkMagnus Westgren

Abstract

To describe the establishment of the fetoscopic guided laser occlusion (FLOC) technique for treatment of twin-to-twin transfusion syndrome (TTTS) and the initial results in a Swedish national center. Retrospective, descriptive study. Tertiary level university hospital. All referred and treated cases suffering significant TTTS. The present study includes all cases of FLOC for TTTS at the Center of Fetal Medicine at Karolinska University Hospital, Stockholm, Sweden from October 2001 until December 2009. Patients were referred from all over Sweden and a few from other Nordic countries. The patients were evaluated with ultrasound examination between gestational ages of 18 and 26 weeks. Data from patients were extracted from our electronic medical record system and, in addition, families were contacted and medical records requested from referring hospitals. Pregnancies with one or more surviving infants after FLOC treatment categorized according to stage of TTTS. In 75% of pregnancies, one or more infant was born alive. At stage I, both infants survived in one pregnancy and one survived in the second. There was no significant difference between cases at stage II or III, i.e. 73 vs. 78% of pregnancies resulted in one or more survivin...Continue Reading

References

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Citations

Jun 29, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Sieglinde M MüllersFergal D Malone
Sep 19, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Liesbeth LewiJan Deprest
Apr 29, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Vasilis Sitras, UNKNOWN Steering Committee Group of the Nordic Network of Fetal Medicine (NNFM)
May 10, 2017·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·W DiehlK Hecher
Jan 22, 2019·Journal of Korean Medical Science·So Yeon KweonJong Kwan Jun

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