| Monopolar thermocoagulation in the management of acardiac twins. | |
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MedLine Citation:
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PMID: 15067239 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To demonstrate the equipment setup and the application of monopolar thermocoagulation in the management of acardiac twins. METHODS: We described 2 cases of acardiac acephalus twins who developed congestive heart failure and polyhydramnios at 20 weeks of gestation. A monopolar wire electrode was inserted through a 14-gauge trocar under ultrasound guidance. The inter-twin circulation was interrupted and confirmed by color Doppler flow examination. RESULTS: Case 1 was detected at 20 weeks of gestation with progression to early signs of fetal congestive heart failure at 22 weeks. This case had smooth operative procedure and delivered a healthy infant at 32 weeks. Case 2 was referred at 24 weeks of gestation with marked fetal congestive heart failure. Although thermocoagulation cessed the inter-twin perfusion, the fetus died in utero 12 h later with persistent irreversible circulatory compensation. CONCLUSION: Monopolar thermocoagulation was an effective and generally available alternative technique to fetal endoscopic surgery for the interruption of vascular communication between acardiac twins. |
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Authors:
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Ping-Jian Chang; Jui-Der Liou; Ching-Chang Hsieh; An-Shine Chao; Yung-Kuei Soong |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Fetal diagnosis and therapy Volume: 19 ISSN: 1015-3837 ISO Abbreviation: Fetal. Diagn. Ther. Publication Date: 2004 May-Jun |
Date Detail:
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Created Date: 2004-04-06 Completed Date: 2004-11-02 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9107463 Medline TA: Fetal Diagn Ther Country: Switzerland |
Other Details:
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Languages: eng Pagination: 271-4 Citation Subset: IM |
Copyright Information:
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Copyright 2004 S. Karger AG, Basel |
Affiliation:
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Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan, ROC. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple Adult Brain / abnormalities Electrocoagulation* / instrumentation Equipment Design Female Fetal Death Fetal Heart / abnormalities* Fetofetal Transfusion / complications, therapy*, ultrasonography Heart Failure / embryology, etiology, therapy Humans Polyhydramnios / complications Pregnancy Pregnancy Trimester, Second Ultrasonography, Prenatal |
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