American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 157.e1-157.e5 , February 2010

Appraisal of the selectivity index in a cohort of patients treated with laser surgery for twin–twin transfusion syndrome

Presented at the First World Congress on Twin Pregnancy, Venice, Italy, April 16-18, 2009.

  • Luminita S. Crisan, MD

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of South Florida, Miami, FL
    • ,
  • Eftichia V. Kontopoulos, MD

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Miami, Miami, FL
    • ,
  • Rubén A. Quintero, MD

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Miami, Miami, FL

Received 27 March 2009 ,Revised 24 August 2009 ,Accepted 10 September 2009.

References 

  1. Quintero RA, Quintero L, Pivatelli A, Bornick P, Allen M, Johnson P. The donor-recipient (D-R) score: in vivo endoscopic evidence to support the hypothesis of a net transfer of blood from donor to recipient in twin-twin transfusion syndrome. Prenat Neonat Med. 2000;5:84–91
  2. Ville Y, Hyett J, Hecher K, Nicolaides K. Preliminary experience with endoscopic laser surgery for severe twin-twin transfusion syndrome. N Engl J Med. 1995;332:224–227
  3. Quintero R, Morales W, Mendoza G, et al. Selective photocoagulation of placental vessels in twin-twin transfusion syndrome: evolution of a surgical technique. Obstet Gynecol Surv. 1998;53:S97–S103
  4. Quintero RA, Comas C, Bornick PW, Allen MH, Kruger M. Selective versus non-selective laser photocoagulation of placental vessels in twin-twin transfusion syndrome. Ultrasound Obstet Gynecol. 2000;16:230–236
  5. Stirnemann JJ, Nasr B, Quarello E, et al. A definition of selectivity in laser coagulation of chorionic plate anastomoses in twin-to-twin transfusion syndrome and its relationship to perinatal outcome. Am J Obstet Gynecol. 2008;198:62.e1–62.e6
  6. Quintero RA, Bornick PW, Allen MH, Johnson PK. Selective laser photocoagulation of communicating vessels in severe twin-twin transfusion syndrome in women with an anterior placenta. Obstet Gynecol. 2001;97:477–481
  7. Quintero RA, Martinez JM, Lopez J, et al. Individual placental territories after selective laser photocoagulation of communicating vessels in twin-twin transfusion syndrome. Am J Obstet Gynecol. 2005;192:1112–1118
  8. Kontopoulos EV, Quintero RA, Chmait RH, Bornick PW, Russell Z, Allen MH. Percent absent end-diastolic velocity in the umbilical artery waveform as a predictor of intrauterine fetal demise of the donor twin after selective laser photocoagulation of communicating vessels in twin-twin transfusion syndrome. Ultrasound Obstet Gynecol. 2007;30:35–39
  9. Lopriore E, Middeldorp JM, Oepkes D, Kanhai HH, Walther FJ, Vandenbussche FP. Twin anemia-polycythemia sequence in two monochorionic twin pairs without oligo-polyhydramnios sequence. Placenta. 2007;28:47–51
  10. Lopriore E, Middeldorp JM, Oepkes D, Klumper FJ, Walther FJ, Vandenbussche FP. Residual anastomoses after fetoscopic laser surgery in twin-to-twin transfusion syndrome: frequency, associated risks and outcome. Placenta. 2007;28:204–208

 Reprints not available from the authors.

 Cite this article as: Crisan LS, Kontopoulos EV, Quintero RA. Appraisal of the selectivity index in a cohort of patients treated with laser surgery for twin–twin transfusion syndrome. Am J Obstet Gynecol 2010;202:157.e1-5.

PII: S0002-9378(09)01013-8

doi: 10.1016/j.ajog.2009.09.006

American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 157.e1-157.e5 , February 2010

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