Combined sonographic and endoscopic umbilical cord occlusion in twin and triplet gestations

Bruce K. Young; Courtney D. Stephenson; Andrew P. Mackenzie; Ashley S. Roman; Andrei Rebarber; Victoria K. Minior; Patricia Mayberry; Ilan E. Timor-Tritsch

doi:10.1515/JPM.2005.094

Combined sonographic and endoscopic umbilical cord occlusion in twin and triplet gestations

Bruce K. Young, Courtney D. Stephenson, Andrew P. Mackenzie, Ashley S. Roman, Andrei Rebarber, Victoria K. Minior, Patricia Mayberry, Ilan E. Timor-Tritsch

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Objective: To review our experience with a minimally invasive technique for umbilical cord occlusion as a method of selective feticide in monochorionic sets. Study design: Umbilical cord occlusion was completed using 3 mm bipolar cautery under ultrasound guidance (3D/4D, n = 6; 2D, n = 6) with pre and post ligation endoscopic evaluation. Results: 12 cases of monochorionic sets where selective feticide was performed were identified during the period 2000 to present. There were four triplet and eight twin gestations in the study cohort. Median interval from intervention to delivery was 16 weeks (range, 5-19). All cotwins survived the procedure and 15 of 16 were delivered after 33 weeks. Conclusions: Umbilical cord occlusion in monochorionic sets can be accomplished in a minimally invasive manner with combined endoscopic and ultrasound guidance in both twin and triplet pregnancies.

Original language	English
Pages (from-to)	530-533
Number of pages	4
Journal	Journal of Perinatal Medicine
Volume	33
Issue number	6
DOIs	https://doi.org/10.1515/JPM.2005.094
State	Published - Dec 2005
Externally published	Yes

Keywords

Endoscopic
Feticide
Triplets
Twin-twin transfusion
Ultrasound
Umbilical cord occlusion

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10.1515/JPM.2005.094

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title = "Combined sonographic and endoscopic umbilical cord occlusion in twin and triplet gestations",

abstract = "Objective: To review our experience with a minimally invasive technique for umbilical cord occlusion as a method of selective feticide in monochorionic sets. Study design: Umbilical cord occlusion was completed using 3 mm bipolar cautery under ultrasound guidance (3D/4D, n = 6; 2D, n = 6) with pre and post ligation endoscopic evaluation. Results: 12 cases of monochorionic sets where selective feticide was performed were identified during the period 2000 to present. There were four triplet and eight twin gestations in the study cohort. Median interval from intervention to delivery was 16 weeks (range, 5-19). All cotwins survived the procedure and 15 of 16 were delivered after 33 weeks. Conclusions: Umbilical cord occlusion in monochorionic sets can be accomplished in a minimally invasive manner with combined endoscopic and ultrasound guidance in both twin and triplet pregnancies.",

keywords = "Endoscopic, Feticide, Triplets, Twin-twin transfusion, Ultrasound, Umbilical cord occlusion",

author = "Young, {Bruce K.} and Stephenson, {Courtney D.} and Mackenzie, {Andrew P.} and Roman, {Ashley S.} and Andrei Rebarber and Minior, {Victoria K.} and Patricia Mayberry and Timor-Tritsch, {Ilan E.}",

year = "2005",

month = dec,

doi = "10.1515/JPM.2005.094",

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volume = "33",

pages = "530--533",

journal = "Journal of Perinatal Medicine",

issn = "0300-5577",

publisher = "Walter de Gruyter GmbH",

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TY - JOUR

T1 - Combined sonographic and endoscopic umbilical cord occlusion in twin and triplet gestations

AU - Young, Bruce K.

AU - Stephenson, Courtney D.

AU - Mackenzie, Andrew P.

AU - Roman, Ashley S.

AU - Rebarber, Andrei

AU - Minior, Victoria K.

AU - Mayberry, Patricia

AU - Timor-Tritsch, Ilan E.

PY - 2005/12

Y1 - 2005/12

N2 - Objective: To review our experience with a minimally invasive technique for umbilical cord occlusion as a method of selective feticide in monochorionic sets. Study design: Umbilical cord occlusion was completed using 3 mm bipolar cautery under ultrasound guidance (3D/4D, n = 6; 2D, n = 6) with pre and post ligation endoscopic evaluation. Results: 12 cases of monochorionic sets where selective feticide was performed were identified during the period 2000 to present. There were four triplet and eight twin gestations in the study cohort. Median interval from intervention to delivery was 16 weeks (range, 5-19). All cotwins survived the procedure and 15 of 16 were delivered after 33 weeks. Conclusions: Umbilical cord occlusion in monochorionic sets can be accomplished in a minimally invasive manner with combined endoscopic and ultrasound guidance in both twin and triplet pregnancies.

AB - Objective: To review our experience with a minimally invasive technique for umbilical cord occlusion as a method of selective feticide in monochorionic sets. Study design: Umbilical cord occlusion was completed using 3 mm bipolar cautery under ultrasound guidance (3D/4D, n = 6; 2D, n = 6) with pre and post ligation endoscopic evaluation. Results: 12 cases of monochorionic sets where selective feticide was performed were identified during the period 2000 to present. There were four triplet and eight twin gestations in the study cohort. Median interval from intervention to delivery was 16 weeks (range, 5-19). All cotwins survived the procedure and 15 of 16 were delivered after 33 weeks. Conclusions: Umbilical cord occlusion in monochorionic sets can be accomplished in a minimally invasive manner with combined endoscopic and ultrasound guidance in both twin and triplet pregnancies.

KW - Endoscopic

KW - Feticide

KW - Triplets

KW - Twin-twin transfusion

KW - Ultrasound

KW - Umbilical cord occlusion

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EP - 533

JO - Journal of Perinatal Medicine

JF - Journal of Perinatal Medicine

SN - 0300-5577

IS - 6

ER -

Combined sonographic and endoscopic umbilical cord occlusion in twin and triplet gestations

Abstract

Keywords

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