Your browser doesn't support javascript.
loading
Impact of middle cerebral artery pulsatility index on donor survival in twin-twin transfusion syndrome.
Krispin, Eyal; Shamshirsaz, Alireza A; Mustafa, Hiba J; Sun, Raphael C; Espinoza, Jimmy; Nassr, Ahmed A; Sanz-Cortes, Magdalena; Ugoji, Chilaka H; Harman, Christopher; Turan, Ozhan; Belfort, Michael A; Donepudi, Roopali.
Afiliação
  • Krispin E; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Shamshirsaz AA; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Mustafa HJ; Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Sun RC; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Espinoza J; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Nassr AA; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Sanz-Cortes M; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Ugoji CH; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Harman C; Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Turan O; Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Belfort MA; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
  • Donepudi R; Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery, Baylor College of Medicine and Texas Children's Fetal Center, Houston, Texas, USA.
Prenat Diagn ; 43(1): 102-108, 2023 01.
Article em En | MEDLINE | ID: mdl-36539914
OBJECTIVE: To assess outcomes in twin-twin transfusion syndrome (TTTS) according to middle cerebral artery pulsatility index (MCA-PI) prior to fetoscopic laser photocoagulation (FLPC) surgery. METHODS: A retrospective cohort analysis of monochorionic-twin pregnancies complicated by TTTS who underwent FLPC at two fetal centers (2012-2021). The cohort was stratified according to abnormal MCA-PI of the donor twin, defined as below fifth centile for gestational age. RESULTS: Abnormal MCA-PI of the donor twin was detected in 46 (17.7%) cases compared to 213 (83.3%) controls with no such abnormality. The abnormal PI group presented with higher rates of sFGR (56.5% vs. 36.8% in controls, p = 0.014) and lower donor survival rates within 48 h after FLPC (73.9 vs. 86.8%, p = 0.029). Donor twin survival rates at the time of delivery and 30 days after birth were lower in the abnormal MCA-PI. Multivariate logistic regression analysis controlling for sFGR and MCA-PI
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transfusão Feto-Fetal Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transfusão Feto-Fetal Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2023 Tipo de documento: Article