Aortic Isthmus Flow Recording Predicts the Outcome of the Recipient Twin after Laser Coagulation in Twin-Twin Transfusion Syndrome
| العنوان: | Aortic Isthmus Flow Recording Predicts the Outcome of the Recipient Twin after Laser Coagulation in Twin-Twin Transfusion Syndrome |
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| المؤلفون: | Delabaere, Amélie, Leduc, France, Delabaere, Amelie, Gendron, Roxanne, Fuchs, Florent, Wavrant, Sandrine, Raboisson, Marie-Josée, Fouron, Jean-Claude, Audibert, François |
| المساهمون: | Thérapie guidée par l'image (TGI), Institut Pascal - Clermont Auvergne (IP), Sigma CLERMONT (Sigma CLERMONT)-Université Clermont Auvergne (UCA)-Centre National de la Recherche Scientifique (CNRS)-Sigma CLERMONT (Sigma CLERMONT)-Université Clermont Auvergne (UCA)-Centre National de la Recherche Scientifique (CNRS), Sigma CLERMONT (Sigma CLERMONT)-Université Clermont Auvergne (UCA)-Centre National de la Recherche Scientifique (CNRS), Centre de recherche en épidémiologie et santé des populations (CESP), Hôpital Paul Brousse-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Paris-Sud - Paris 11 (UP11)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Centre hospitalier universitaire Sainte-Justine [Montréal, Canada], Département d'Obstétrique Gynécologie, Université de Montréal (UdeM)-CHU Sainte Justine [Montréal], Sigma CLERMONT (Sigma CLERMONT)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA)-Sigma CLERMONT (Sigma CLERMONT)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA), Sigma CLERMONT (Sigma CLERMONT)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pascal (IP), SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS)-SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), CHU Sainte Justine [Montréal], SIGMA Clermont (SIGMA Clermont)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-SIGMA Clermont (SIGMA Clermont)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), SIGMA Clermont (SIGMA Clermont)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ) |
| المصدر: | Fetal Diagnosis and Therapy Fetal Diagnosis and Therapy, Karger, 2018, 44 (2), pp.135-141. ⟨10.1159/000479736⟩ Fetal Diagnosis and Therapy, 2018, 44 (2), pp.135-141. ⟨10.1159/000479736⟩ |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Embryology, medicine.medical_specialty, animal structures, medicine.medical_treatment, Twins, [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics, 03 medical and health sciences, 0302 clinical medicine, Laser therapy, Predictive Value of Tests, Pregnancy, Medicine, Humans, Radiology, Nuclear Medicine and imaging, 030212 general & internal medicine, Fetal Death, Twin Twin Transfusion Syndrome, ComputingMilieux_MISCELLANEOUS, Aorta, 030219 obstetrics & reproductive medicine, Laser Coagulation, urogenital system, business.industry, Fetoscopy, Obstetrics and Gynecology, General Medicine, Fetofetal Transfusion, Laser Doppler velocimetry, Echocardiography, Doppler, Surgery, Treatment Outcome, embryonic structures, Pediatrics, Perinatology and Child Health, cardiovascular system, Aortic isthmus, Female, business, Laser coagulation, Blood Flow Velocity |
| الوصف: | Introduction: The objective was to assess the prognostic value of the systolic flow through the aortic isthmus in monochorionic pregnancies complicated by twin-twin transfusion syndrome (TTTS) treated by placental laser ablation. Material and Methods: Fetal echocardiography and outcome data of 105 cases of TTTS treated by laser photocoagulation of placental anastomoses were reviewed. Hemodynamic parameters were collected before and after treatment. The isthmic systolic index (ISI) was calculated as the peak systolic velocity/systolic nadir ratio. Results: A total of 105 laser coagulations were studied. Fetal echocardiography pre- and post-laser were available in 68 cases, including 55 with data on aortic isthmic Doppler. Survival rates were 17, 22, and 61% for 0, 1, or 2 twins, respectively. At least 1 twin was delivered alive in 83% of the pregnancies. The mean gestational age at surgery was 21 weeks (range 16-26). Median ISI values were similar for donor and recipient twins, before and after laser ablation (all p > 0.05). A lower recipient ISI before laser was related to early recipient demise within 24 h (p = 0.04). Discussion: A lower ISI before placental laser ablation for TTTS is associated with postoperative demise of the recipient twin. |
| تدمد: | 1421-9964 1015-3837 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fd183dcfec4a1e828ab32353790107a1Test https://pubmed.ncbi.nlm.nih.gov/28918426Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....fd183dcfec4a1e828ab32353790107a1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14219964 10153837 |
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