Document Detail

Successful outcome after Nd : YAG laser separation of chorioangiopagus-twins under sonoendoscopic control.
MedLine Citation:
PMID:  12796919     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Endoscopic laser coagulation of the chorioangiopagus was successfully performed at 25 weeks' gestation in a pregnancy presenting with acute polyhydramnios due to twin transfusion syndrome. Under local anesthesia, a rigid fetoscope housed in a 2.7 mm diameter cannula was introduced transabdominally into the amniotic cavity and the communicating vessels were coagulated by Nd : YAG laser through a fiber that was passed down the side-arm of the cannula. There was rapid normalization of urine output in both fetuses and resolution of the oligo- and polyhydramnios in the donor and recipient twins, respectively. Furthermore, there was normalization in both fetal circulations, as assessed by Doppler velocimetry, and there was gradual resolution of the hydrops in the recipient. Two healthy babies were born 9 weeks after the procedure.
Y Ville; K Hecher; D Ogg; R Warren; K Nicolaides
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  2     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  1992 Nov 
Date Detail:
Created Date:  2003-06-10     Completed Date:  2003-10-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  429-31     Citation Subset:  -    
Copyright Information:
Copyright 1992 International Society of Ultrasound in Obstetrics and Gynecology
Harris Birthright Research Centre for Fetal Medicine, King's College School of Medicine and Dentistry, London, UK.
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