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Intrafetal Laser Treatment for Selective Feticide in Monochorionic Multiple Pregnancies

Perinatology 2020년 31권 3호 p.145 ~ 150
김란희, 이승미, 김소희, 정영미, 김소연, 박찬욱, 박중신, 전종관,
소속 상세정보
김란희 ( Kim Ran-Hee ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
이승미 ( Lee Seung-Mi ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
김소희 ( Kim So-Hee ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
정영미 ( Jung Young-Mi ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
김소연 ( Kim So-Yeon ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
박찬욱 ( Park Chan-Wook ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
박중신 ( Park Joong-Shin ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology
전종관 ( Jun Jong-Kwan ) - Seoul National University College of Medicine Department of Obstetrics and Gynecology

Abstract


Intrafetal coagulation by a radiofrequency ablation (RFA) device has traditionally been used for selective feticide in complicated monochorionic multiple pregnancies. However, as RFA is not feasible in early pregnancy, intrafetal laser coagulation has recently been suggested as an alternative method in the early mid-trimester period. This study aimed to report our experience of utilizing intrafetal laser coagulation for selective feticide in early complicated monochorionic multiple pregnancies. Three monochorionic multiple pregnancies that were treated with intrafetal laser coagulation before 20 weeks were described. Sonographic findings during pregnancy, antepartum course, and intrafetal laser coagulation procedure were reviewed, along with their perinatal outcomes. Indications were twin reversed arterial perfusion sequence in two cases, and dichorionic tri-amniotic triplets complicated with twin-to-twin transfusion syndrome in one case. Intrafetal laser coagulation was successful in all three cases, with favorable neonatal outcomes.

키워드

Multiple pregnancy; Complication; Fetoscopic surgical procedure; Laser ablation

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