Cord ultrasonic transection procedure for selective termination of a monochorionic twin

被引：28

作者：

Lopoo, JB ^{[1
]}

Paek, BW ^{[1
]}

Maichin, GA ^{[1
]}

Lipshutz, GS ^{[1
]}

Jennings, RW ^{[1
]}

Farmer, DL ^{[1
]}

Sandberg, PL ^{[1
]}

Feldstein, VA ^{[1
]}

Filly, RA ^{[1
]}

Farrell, JA ^{[1
]}

Harrison, MR ^{[1
]}

Albanese, CT ^{[1
]}

机构：

[1] Univ Calif San Francisco, Fetal Treatment Ctr, San Francisco, CA 94143 USA

来源：

FETAL DIAGNOSIS AND THERAPY | 2000年 / 15卷 / 03期

关键词：

feticide; selective; twins; discordant; twin reversed arterial perfusion syndrome; cord ultrasonic transection procedure;

D O I：

10.1159/000021001

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Placental vascular communications can present a life-threatening problem in monochorionic twins when one fetus has a lethal anomaly. Although selective feticide is the best option for salvaging the normal twin, techniques normally employed (i.e. intracardiac potassium, air embolism) are not prudent given the common circulatory system. Furthermore, in monoamniotic, monochorionic twin gestations it is important to transect the umbilical cord completely to prevent entanglement of the dead fetus around the cord of the normal twin. We present two cases of monochorionic twins in which the cords were transected with a harmonic scalpel under ultrasonic guidance via one trocar. The harmonic scalpel is an instrument which can simultaneously coagulate and cut blood vessels or tissues. The cord ultrasonic transection procedure is a novel, minimally invasive technique which offers several advantages over the methods currently used for selective feticide in discordant monochorionic twin gestations, Copyright (C) 2000 S. Karger AG,Basel.

引用

页码：177 / 179

页数：3

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