Abstract
We aimed to evaluate perinatal outcome of seven pregnancies with twin reserve arterial perfusion sequence. Study group included seven cases of acardiac twins. Out of seven acardiac twins, two cases were followed without interventions. We performed four alcohol ablation and one bipolar coagulation. For alcohol ablation, a 20-gauge needle guided with color Doppler USG was directed to abdominal insertion site of the single umbilical artery of the acardiac twin, and 1.0-2.0 mL of absolute alcohol was injected. For bipolar coagulation of the umbilical cord, we used 3.5 mm laparoscopic trocar and 3.0 mm bipolar forceps. The procedures were performed under the guidance of transabdominal ultrasonography. Gestational age of the cases at diagnosis and at delivery was 15-32 and 17-38 weeks, respectively. Two cases without intervention were lost at 17 and 32 weeks. The mean time of procedure for bipolar coagulation and alcohol ablation were 30 and 10 min, respectively. One of the four cases of alcohol ablation group was aborted although alcohol ablation was successful. Another one case was aborted after alcohol ablation due to lost of fetal cardiac activity of the pump fetus. In two other cases, umbilical cord ablation with alcohol was suc...Continue Reading
References
Oct 1, 1977·Teratology·W H James
Feb 9, 1991·Lancet·R P PorrecoA D Haverkamp
Sep 1, 1990·American Journal of Obstetrics and Gynecology·T R MooreK Benirschke
Feb 23, 1989·The New England Journal of Medicine·G F RobieM A Morgan
Oct 1, 1995·Obstetrics and Gynecology·W SepulvedaN M Fisk
Feb 17, 1994·The New England Journal of Medicine·R A QuinteroR Romero
Feb 16, 1999·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J A DeprestK Vandenberghe
Mar 11, 1999·Fetal Diagnosis and Therapy·K SøgaardV Brocks
Sep 3, 1999·Obstetrics and Gynecology·M BrassardF Proulx
Feb 29, 2000·American Journal of Obstetrics and Gynecology·J A DeprestD Mahieu-Caputo
Sep 19, 2002·American Journal of Obstetrics and Gynecology·KuoJen TsaoDiana L Farmer
Oct 7, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·T Y T Tan, W Sepulveda
Nov 25, 2003·American Journal of Obstetrics and Gynecology·Amy E SullivanRobert M Silver
Feb 26, 2004·American Journal of Obstetrics and Gynecology·Richard P Porreco
Aug 12, 2004·Fetal Diagnosis and Therapy·Waldo SepulvedaVictor Quiroz
Jan 13, 2005·Obstetrics and Gynecology Clinics of North America·Liesbeth LewiJan Deprest
Sep 20, 2005·Prenatal Diagnosis·Amy E Wong, Waldo Sepulveda
Mar 9, 2006·American Journal of Obstetrics and Gynecology·Liesbeth LewiJan Deprest
May 1, 2007·American Journal of Obstetrics and Gynecology·Hanmin LeeDiana L Farmer