Visualisation of the vascular equator in twin-to-twin transfusion syndrome by virtual fetoscopy.
Background: Twin-to-twin transfusion syndrome (TTTS) is a serious complication of monochorionic twin gestation, which has a high risk of perinatal morbidity and mortality. Fetoscopic laser photocoagulation of the vascular anastomoses is the preferred treatment. Nowadays, Solomon technique which cons...
| Publicado en: | Archives of Gynecology & Obstetrics Vol. 292; no. 6; pp. 1183 - 1185 |
|---|---|
| Autores principales: | , , , , , , , , , |
| Formato: | pictorial research Journal Article |
| Publicado: |
Springer Nature
Dec2015
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110341074&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 110341074 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09320067 NNE jtl: Archives of Gynecology & Obstetrics issn: 09320067 maglogo: N pubinfo: dt: Dec2015 vid: 292 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 110341074 110341074 NLM26411581 110341074 10.1007/s00404-015-3891-y NLM26411581 110341074 ppf: 1183 ppct: 2 formats: tig: atl: Visualisation of the vascular equator in twin-to-twin transfusion syndrome by virtual fetoscopy. aug: au: Werner, Heron Dos Santos, Jorge Sá, Renato Daltro, Pedro Gasparetto, Emerson Marchiori, Edson Campbell, Stuart Araujo Júnior, Edward Dos Santos, Jorge Lopes Sá, Renato Augusto Araujo Júnior, Edward affil: Department of Radiology, Clínica de Diagnóstico por Imagem (CPDI), Rio de Janeiro Brazil sug: subj: Fetoscopy Placenta Pathology Laser Therapy Methods Fetofetal Transfusion Surgery Pregnancy, Twin Umbilical Cord Pregnancy Human Female Fetus Magnetic Resonance Imaging Placenta Validation Studies Comparative Studies Evaluation Research Multicenter Studies Fetus, conception to birth Female ab: Background: Twin-to-twin transfusion syndrome (TTTS) is a serious complication of monochorionic twin gestation, which has a high risk of perinatal morbidity and mortality. Fetoscopic laser photocoagulation of the vascular anastomoses is the preferred treatment. Nowadays, Solomon technique which consists the vascular coagulation of all anastomoses in the placental equator is the preferable method.Objective: To develop a method of virtual fetoscopy by means of ultrasound and resonance magnetic imaging (MRI) scan data to allow the identification of placental equator.Results: MRI was performed in a twin monochorionic twin pregnancy with 28 weeks previously treated for TTTS with fetoscopic laser photocoagulation. A three-dimensional (3D) file of the placenta was created from overlapping image layers generated by MRI using Mimics software. Virtual fetoscopy allowed adequate visualization of fetuses, umbilical cord insertion and placental equator.Conclusion: Virtual fetoscopy is a non-invasive technique which allowed adequate identification of placental equator, and it may be an important learning method to novice fetal endoscopic surgeons in TTTS cases. pubtype: Academic Journal doctype: pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|