Perinatal- and procedure-related outcomes following radiofrequency ablation in monochorionic pregnancy.

Kumar, Sailesh, Paramasivam, Gowrishankar, Zhang, Eko, Jones, Bryony, Noori, Muna, Prior, Tomas, Vasudeva, Akhila and Wimalasundera, Ruwan C. (2013) Perinatal- and procedure-related outcomes following radiofrequency ablation in monochorionic pregnancy.. American Journal of Obstetrics and Gynecology, 210 5: . doi:10.1016/j.ajog.2013.12.009


Author Kumar, Sailesh
Paramasivam, Gowrishankar
Zhang, Eko
Jones, Bryony
Noori, Muna
Prior, Tomas
Vasudeva, Akhila
Wimalasundera, Ruwan C.
Title Perinatal- and procedure-related outcomes following radiofrequency ablation in monochorionic pregnancy.
Journal name American Journal of Obstetrics and Gynecology   Check publisher's open access policy
ISSN 0002-9378
1097-6868
Publication date 2013-12-04
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.ajog.2013.12.009
Open Access Status
Volume 210
Issue 5
Total pages 6
Place of publication Philadelphia, PA, United States
Publisher Mosby
Collection year 2014
Language eng
Formatted abstract
Objective

We sought to assess the efficacy, complication rates, and outcomes for complex monochorionic pregnancies undergoing selective fetal reduction using radiofrequency ablation (RFA).

Study design

In this prospective observational study, 100 consecutive cases of selective fetal reduction using RFA were analyzed. All cases were managed at the Centre for Fetal Care at Queen Charlotte's and Chelsea Hospital in London. Indications for offering RFA, details of the procedure, and pregnancy outcomes were collected and analyzed.

Results

The main indications for RFA were discordant fetal anomaly and twin-twin transfusion syndrome. Overall live birth rate was 78% and the median gestation at delivery was 35.15 weeks. Delivery <32 weeks' gestation occurred in 17.9% of cases. Postprocedure abnormal antenatal magnetic resonance imaging occurred in 3% of cases. There was no statistical difference in outcomes with regard to gestation when the procedure was performed or the indication for the RFA.

Conclusion

RFA appears to be a reasonable option for selective fetal reduction in complex monochorionic pregnancies with an overall survival rate of 78%.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
Official 2014 Collection
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Thu, 24 Apr 2014, 14:27:15 EST by Dominique Rossouw on behalf of Mater Research Institute-UQ