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Increased risk of placental abruption after solomon laser treatment of twin-twin transfusion syndrome.
Lanna, M M; Faiola, S; Consonni, D; Rustico, M A.
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  • Lanna MM; Fetal Therapy Unit " U.Nicolini", Vittore Buzzi Children's Hospital, Università degli Studi di Milano, Milan, Italy. Electronic address: marianolanna@tiscali.it.
  • Faiola S; Fetal Therapy Unit " U.Nicolini", Vittore Buzzi Children's Hospital, Università degli Studi di Milano, Milan, Italy.
  • Consonni D; Epidemiology Unit, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
  • Rustico MA; Fetal Therapy Unit " U.Nicolini", Vittore Buzzi Children's Hospital, Università degli Studi di Milano, Milan, Italy.
Placenta ; 53: 54-56, 2017 05.
Article en En | MEDLINE | ID: mdl-28487021
To evaluate the relative risk of placental abruption in monochorionic (MC) twin pregnancies complicated with twin-to-twin transfusion syndrome (TTTS) and treated with endoscopic laser coagulation of placental vessels (ELCPV). A retrospective analysis from January 2004 and December 2015 of 373 TTTS pregnancies, treated with selective ELCPV until January 2012 (287 cases), after which the Solomon technique was introduced (86 cases), compared with 243 normal MC pregnancies. A significant improvement in perinatal survival was observed after the introduction of the Solomon technique when compared to the selective procedure (77% vs 54%, p < 0.001). The rate of placental abruption was 1% (3/243) in normal MC pregnancies, 6% (21/373) in TTTS group, increased with Solomon technique (12/86, 14%, vs 9/287, 3%, p < 0.001). MC twin pregnancies treated with laser coagulation of placental vascular anastomoses could be at increased risk of placental abruption, especially when the Solomon technique is used.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Coagulación con Láser / Desprendimiento Prematuro de la Placenta / Transfusión Feto-Fetal Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Placenta Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Coagulación con Láser / Desprendimiento Prematuro de la Placenta / Transfusión Feto-Fetal Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Placenta Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos