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 journalArticlepeer-review

13 Scopus citations


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 languageEnglish
Pages (from-to)530-533
Number of pages4
JournalJournal of Perinatal Medicine
Issue number6
StatePublished - Dec 2005
Externally publishedYes


  • Endoscopic
  • Feticide
  • Triplets
  • Twin-twin transfusion
  • Ultrasound
  • Umbilical cord occlusion


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