The value of middle cerebral artery peak systolic velocity in the diagnosis of fetal anemia after intrauterine death of one monochorionic twin

Senat, M. V.; Loizeau, S.; Couderc, Sophie; Bernard, Jean‐Pierre; Ville, Y.

doi:10.1067/s0002-9378(03)00644-6

Cited by 129 publications

(74 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Of note is the fact that diagnosis of fetal anemia via cordocentesis has been replaced by the reliable and noninvasive sonographic measurement of the middle cerebral artery peak systolic velocity to detect fetal anemia [15,16,28] . Bajoria et al [1] determined outcomes of twin pregnancies complicated by sIUFD in relation to vascular anatomy of the MC placenta.…”

Section: Fetal Demise In MC Twinsmentioning

confidence: 99%

Single fetal death in twin gestations

Blickstein

Perlman

2012

Journal of Perinatal Medicine

103

View full text Add to dashboard Cite

Twin pregnancies are at higher risk for fetal mortality when compared with singleton pregnancies. Single fetal demise occurs in 3.7 -6.8 % of all twin pregnancies and considerably increases the complication rate in the co-twin including fetal loss, premature delivery, and end-organ damage. In this review, we summarize the current information on the etiology of single twin demise, the pathophysiology of injury to the surviving twin, and the preventive and secondary management strategies.

show abstract

Section: Fetal Demise In MC Twinsmentioning

confidence: 99%

Single fetal death in twin gestations

Blickstein

Perlman

2012

Journal of Perinatal Medicine

103

View full text Add to dashboard Cite

show abstract

“…8 All were diagnosed by middle cerebral artery PSV measurements, considered as severe. Follow up and neonatal outcome were normal in all three cases.…”

Section: Selective Feticide In Monochorionic Pregnancies Requires Cormentioning

confidence: 99%

Selective feticide in complicated monochorionic twin pregnancies using ultrasound‐guided bipolar cord coagulation

Robyr¹,

Yamamoto²,

Ville³

2005

BJOG

108

View full text Add to dashboard Cite

Objective To review our experience with selective feticide in complicated monochorionic (MC) twin pregnancies, using ultrasound-guided cord coagulation with a bipolar forceps. Design Retrospective analysis.Setting All consecutive umbilical cord coagulations performed at our institution in the second trimester of pregnancy between November 1999 and 2003. Population Consecutive cases of complicated MC pregnancies with an indication for selective termination.Methods Ultrasound-guided coagulation of the umbilical cord with a 2.5-mm bipolar forceps under local anaesthesia. Main outcome measures Indications, gestational age at the procedure, perinatal outcome and neonatal follow up. Results Forty-six patients with MC twin pregnancies underwent this procedure. Indications included twin reverse arterial perfusion sequence (n ¼ 17), severe malformation in one twin (n ¼ 7) and agonal presentation or cerebral anomalies of one twin in twin-to-twin transfusion syndrome (TTTS) after laser treatment or serial amniodrainage (n ¼ 22). The procedure resulted in six intrauterine fetal demise (IUFD, 13%), with a rate of 41% and 3% when performed at 16 -17 weeks or later, respectively (Fisher P ¼ 0.002). Preterm rupture of the membranes (PROM) before 28 weeks and between 28 and 34 weeks occurred in 9% and 14% of the cases, respectively. All neonatal deaths (four) occurred in cases with PROM at 28 weeks or earlier. Paediatric follow up showed that all infants discharged alive but one were neurologically normal at 3 -42 months, which corresponds to 70% of the 46 cases. Conclusions This technique is effective when the natural history is likely to severely affect the development of the normal co-twin. The overall intact survival rate was 70% and our results support justification of later surgery. Prematurity remains a significant complication of the procedure.

show abstract

“…15 Single IUFD involved 11 donors and 8 recipients. The median gestational age at IUD was 23 [20][21][22][23][24][25][26][27][28] weeks, and the median interval between IUFD and intrauterine transfusion (IUT) was 12 [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] hours. The median volume of blood transfused was 40 ml.…”

Section: Resultsmentioning

confidence: 99%

“…[13][14] The time of death could be estimated as cases complicated with IUFD and included in our study always occurred during hospitalisation, with twice-daily sonographic evaluation performed in cases of FFTS, both before and after treatment. Anaemia was diagnosed by fetal blood sampling with haemoglobin values below the fifth percentile in all cases.…”

Section: Methodsmentioning

confidence: 99%

Outcome of anaemic monochorionic single survivors following early intrauterine rescue transfusion in cases of feto‐fetal transfusion syndrome

Quarello

Stirnemann

Nassar

et al. 2008

BJOG

Self Cite

View full text Add to dashboard Cite

Objective To evaluate the outcome of severely anaemic monochorionic (MC) twins surviving the death of their co-twin following early intrauterine rescue transfusion in cases of feto-fetal transfusion syndrome (FFTS).Study design We reviewed all MC pregnancies complicated with FFTS following primary management, in which a single intrauterine fetal death (IUFD) was diagnosed with certainty within 24 hours between January 1999 and December 2006. We included MC survivors who presented ultrasound or Doppler features of fetal anaemia following the death of their co-twin. Intrauterine transfusion (IUT) was given to all survivors who were anaemic.Results Nineteen MC twin pregnancies presented a single intrauterine death (IUD) associated with an anaemic co-twin. Median gestational age at IUD was 23 [20][21][22][23][24][25][26][27][28] weeks. The median interval between IUD and IUT was 12 [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] hours. There were 58% (11/19) healthy survivors. Perinatal death rate was 26% (5/19) including 16% (3/19) intrauterine and 10% (2/19) neonatal deaths. Abnormal prenatal cerebral findings developed in 21% (4/19) cases, always within 1 month after the death of the co-twin. Considering occlusive techniques and other management separately, there were 64% (7/11) and 50% (4/8) healthy survivors, respectively, and perinatal death occurred in 36% (4/11) and 12.5% (1/8) of fetuses, respectively. Prenatal fetal cerebral lesions developed in 9% (1/11) of cases following occlusive techniques and in 37.5% (3/8) of fetuses when managed differently. The median gestational age at delivery in the survivors was 31 [25][26][27][28][29][30][31][32][33][34][35][36][37][38] weeks. ConclusionIn cases of FFTS with single anaemic survivors, early IUT could be offered following extensive counselling and close follow up.

show abstract

The value of middle cerebral artery peak systolic velocity in the diagnosis of fetal anemia after intrauterine death of one monochorionic twin

Cited by 129 publications

References 20 publications

Single fetal death in twin gestations

Single fetal death in twin gestations

Selective feticide in complicated monochorionic twin pregnancies using ultrasound‐guided bipolar cord coagulation

Outcome of anaemic monochorionic single survivors following early intrauterine rescue transfusion in cases of feto‐fetal transfusion syndrome

Contact Info

Product

Resources

About